Provider Demographics
NPI:1871544957
Name:CHANDRASEKARAN, APARNA (MD)
Entity type:Individual
Prefix:DR
First Name:APARNA
Middle Name:
Last Name:CHANDRASEKARAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 FAIRFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1645
Mailing Address - Country:US
Mailing Address - Phone:973-632-3956
Mailing Address - Fax:732-412-4917
Practice Address - Street 1:12 FAIRFIELD ROAD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1645
Practice Address - Country:US
Practice Address - Phone:973-632-3956
Practice Address - Fax:732-412-4917
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2011-03-11
Deactivation Date:2006-09-26
Deactivation Code:
Reactivation Date:2006-10-16
Provider Licenses
StateLicense IDTaxonomies
NJMA07770700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
088477Medicare ID - Type Unspecified
NJI25823Medicare UPIN