Provider Demographics
NPI:1427084268
Name:TODI, NEELAM (MD)
Entity type:Individual
Prefix:DR
First Name:NEELAM
Middle Name:
Last Name:TODI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410
Mailing Address - Country:US
Mailing Address - Phone:201-796-2255
Mailing Address - Fax:201-796-3711
Practice Address - Street 1:3100 BROADWAY
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410
Practice Address - Country:US
Practice Address - Phone:201-796-2255
Practice Address - Fax:201-796-7020
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07983400207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ100500CGNOtherMEDICARE PTAN
NJ100500CGNOtherMEDICARE PTAN