Provider Demographics
NPI:1992895353
Name:SARAF, KOMAL CHAND (PHD)
Entity type:Individual
Prefix:DR
First Name:KOMAL
Middle Name:CHAND
Last Name:SARAF
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-5805
Mailing Address - Country:US
Mailing Address - Phone:609-394-8238
Mailing Address - Fax:215-736-2240
Practice Address - Street 1:2400 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1951
Practice Address - Country:US
Practice Address - Phone:215-736-2240
Practice Address - Fax:215-736-2240
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100326600103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical