Provider Demographics
NPI:1063573491
Name:THORAT, APARNA (DMD)
Entity type:Individual
Prefix:
First Name:APARNA
Middle Name:
Last Name:THORAT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:APARNA
Other - Middle Name:
Other - Last Name:SHRIKHANDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:110 RIVER DRIVE SOUTH
Mailing Address - Street 2:APT # 2804
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310
Mailing Address - Country:US
Mailing Address - Phone:617-233-6511
Mailing Address - Fax:315-454-8650
Practice Address - Street 1:408 KNICKER BOCKER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237
Practice Address - Country:US
Practice Address - Phone:718-573-3333
Practice Address - Fax:718-573-3336
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN02944122300000X
NY055328122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03369582Medicaid