Bharati D Penupatruni MD LLC

Organization Active NPI General Practice Physician · Monmouth JCT, NJ

NPI 1760928014 · NPPES record last updated Jan 10, 2017

Key facts

NPI
1760928014
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
25MA05220800 (NJ)
Legal business name
BHARATI D PENUPATRUNI MD LLC
Practice address
4 Drinking Brook Rd
Monmouth JCT, NJ 08852-2800
Phone
(908) 307-5695
NPI assigned
Jan 10, 2017
Organization subpart
No

Authorized official

Name
Bharati D Penupatruni
Title
Owner
Phone
(908) 307-5695

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X 25MA05220800 NJ Yes

Addresses

Primary practice location

4 Drinking Brook Rd
Monmouth JCT, NJ 08852-2800

Mailing address

4 Drinking Brook Rd
Monmouth JCT, NJ 08852-2800

Other providers in Monmouth JCT, NJ

All providers in Monmouth JCT, NJ · General Practice Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.