Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 25MA073362000 | NJ |
N | 207KA0200X | Allergist | ME79314 | FL |
NPI | 1083699409 |
---|---|
Provider Name | Dr. Savithri B Bonala |
First Address | Highland Park, NJ 08904-2408 |
Second Address | Highland Park, NJ 08904-2408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 16/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0071684 | (05) | NJ |
0150142000 | AMERIHEALTH (01) | NJ |
1603R1 | EMPIRE BCBS (01) | NJ |
1605318 | CIGNA (01) | NJ |
2099742 | GHI (01) | NJ |
236325 | AMERIGROUP (01) | NJ |
2421092 | UNITED HEALTHCARE (01) | NJ |
2K7611 | HEALTHNET (01) | NJ |
38150 | UNIVERSITY HEALTH PLAN (01) | NJ |
60006198 | HORIZON NJ HEALTH (01) | NJ |
7366552 | AETNA (01) | NJ |
8828709 | (05) | NJ |
91001540100 | AMERICHOICE (01) | NJ |
P3239782 | OXFORD (01) | NJ |