Provider Demographics
NPI:1285768077
Name:KISHOR NAR MD PC
Entity type:Organization
Organization Name:KISHOR NAR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KISHOR
Authorized Official - Middle Name:G
Authorized Official - Last Name:NAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-454-2212
Mailing Address - Street 1:96A BALTIMORE ST
Mailing Address - Street 2:A
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-1836
Mailing Address - Country:US
Mailing Address - Phone:908-454-2212
Mailing Address - Fax:908-454-1218
Practice Address - Street 1:96 BALTIMORE ST
Practice Address - Street 2:A
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-1836
Practice Address - Country:US
Practice Address - Phone:908-454-2212
Practice Address - Fax:908-454-1218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04758900207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
41043273253OtherINDIVIDUAL NPI NUMBER
PA796780Medicare ID - Type Unspecified
NJ415324Medicare ID - Type Unspecified
D06344Medicare UPIN