Provider Demographics
NPI:1154543023
Name:BHALLA, SARANGA (DO)
Entity type:Individual
Prefix:DR
First Name:SARANGA
Middle Name:
Last Name:BHALLA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 NASSAU ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-4601
Mailing Address - Country:US
Mailing Address - Phone:609-285-5851
Mailing Address - Fax:609-228-1056
Practice Address - Street 1:357 NASSAU ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-4601
Practice Address - Country:US
Practice Address - Phone:609-285-5851
Practice Address - Fax:609-228-1056
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB080904002084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry