Ketaki Vaidhyanathan in Montclair - Psychiatry

Ketaki Vaidhyanathan - NPI 1992904445

Ketaki Vaidhyanathan is a Psychiatry in Montclair, New Jersey. Ketaki Vaidhyanathan practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Ketaki Vaidhyanathan is 1992904445. The last update date is 2010-08-03.

Ketaki Vaidhyanathan's current location address is 1 Bay Ave, Montclair, New Jersey. You can contact this provider via phone number 9734296260. The mailing address for Ketaki Vaidhyanathan is 1 Bay Ave, Montclair, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Ketaki Vaidhyanathan
Address 1 Bay Ave, Montclair, New Jersey
Phone Number 9734296260
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1992904445
Provider Enumeration Date 2007-07-15
Last Updated Date 2010-08-03

Provider Mailing Address Detail

Address 1 Bay Ave
City Montclair
State New Jersey (NJ)
Post Code 70424837
Phone Number 9734296260
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 25MA08170600
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
232084 NJ --

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FAQs about Ketaki Vaidhyanathan

What is the unique identification code assigned to Ketaki Vaidhyanathan by the Centers for Medicare & Medicaid Services?

The Ketaki Vaidhyanathan has been issued the NPI (National Provider Identifier) 1992904445. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ketaki Vaidhyanathan is physically located?

The Ketaki Vaidhyanathan is situated at the following address: 1 Bay Ave, Montclair, NJ 70424837.

What is the Ketaki Vaidhyanathan's area of specialization and corresponding taxonomy classification?

The Ketaki Vaidhyanathan's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1992904445 to Ketaki Vaidhyanathan?

The Centers for Medicare & Medicaid Services originally issued the 1992904445 to Ketaki Vaidhyanathan on 2007-07-15.

As of what date was the information pertaining to Ketaki Vaidhyanathan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ketaki Vaidhyanathan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-08-03.

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