Provider Demographics
NPI:1124482583
Name:SARAIYA, PARTH (MD)
Entity type:Individual
Prefix:
First Name:PARTH
Middle Name:
Last Name:SARAIYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1317 ROUTE 73 STE 200
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-2202
Mailing Address - Country:US
Mailing Address - Phone:856-360-2430
Mailing Address - Fax:
Practice Address - Street 1:905 SOUTHLAKE BLVD STE AANDC
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-3955
Practice Address - Country:US
Practice Address - Phone:804-419-0492
Practice Address - Fax:804-419-0500
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2021-025932083A0300X
VA01012769562083A0300X, 2083P0901X, 208D00000X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice