Provider Demographics
NPI:1487149936
Name:YADAV, AVIRAL (DO)
Entity type:Individual
Prefix:
First Name:AVIRAL
Middle Name:
Last Name:YADAV
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 PRINCETON HIGHTSTOWN RD STE A3
Mailing Address - Street 2:
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-3130
Mailing Address - Country:US
Mailing Address - Phone:609-537-7400
Mailing Address - Fax:609-537-7401
Practice Address - Street 1:352 PRINCETON HIGHTSTOWN RD STE A3
Practice Address - Street 2:
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550-3130
Practice Address - Country:US
Practice Address - Phone:609-537-7400
Practice Address - Fax:609-537-7401
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB11091100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine