Provider Demographics
NPI:1962538165
Name:CHOICE ALLERGY AND SINUS CARE PC
Entity type:Organization
Organization Name:CHOICE ALLERGY AND SINUS CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMAKUMAR
Authorized Official - Middle Name:VENKATA
Authorized Official - Last Name:RAYASAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-753-9757
Mailing Address - Street 1:1406 PARK AVE
Mailing Address - Street 2:1400 PARK AVE
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-2911
Mailing Address - Country:US
Mailing Address - Phone:908-753-9757
Mailing Address - Fax:908-755-1414
Practice Address - Street 1:1406 PARK AVE
Practice Address - Street 2:1400 PARK AVE
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-2911
Practice Address - Country:US
Practice Address - Phone:908-753-9757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care