Active NPIIndividual providerSole proprietor

Dr. Sandarsh R Kancherla, MD

Internal Medicine, Gastroenterology in Englewood, New Jersey

NPI Number1568641058
Practice location
420 Grand Ave, Englewood, NJ 07631-4152
Fax
201-569-1999
Last updated
May 21, 2015

Sandarsh Raj Kancherla is an Internal Medicine, Gastroenterology based in Englewood, NJ. Sandarsh Raj Kancherla practices in Englewood, NJ and has the professional credentials of MD. The NPI Number for Sandarsh Raj Kancherla is 1568641058 and holds a License No. mt188777 (PA). The current practice location address for Sandarsh Raj Kancherla is 420 Grand Ave, Englewood, NJ 07631-4152 and can be reached out via phone at 201-569-7044 and via fax at 201-569-1999.

Provider Profile Details

NPI Number
1568641058
Provider Name
Sandarsh Raj Kancherla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
420 Grand Ave, Englewood, NJ 07631-4152
Phone Number
201-569-7044
Fax Number
201-569-1999
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
Yes
Provider Enumeration Date
October 31, 2007
Last Update Date
May 21, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
420 Grand Ave
Englewood, NJ 07631-4152
Zip
07631-4152
Phone Number
201-569-7044
Fax Number
201-569-1999
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
420 Grand Ave
Englewood, NJ 07631-4152
City
Englewood
State
NJ
Zip
07631-4152
Phone Number
201-569-7044
Fax Number
201-569-1999

License Information

License Number (1)
mt188777
License State (1)
PA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
252443
License State (2)
NY
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (3)
25ma09096400
License State (3)
NJ
Taxonomy (3)
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sandarsh R Kancherla, MD?

The NPI number of Dr. Sandarsh R Kancherla, MD is 1568641058. It was assigned on October 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Sandarsh R Kancherla, MD?

Dr. Sandarsh R Kancherla, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in PA under license number mt188777.

Where does Dr. Sandarsh R Kancherla, MD practice?

The practice location is 420 Grand Ave, Englewood, NJ 07631-4152. The office can be reached at 201-569-7044 (phone) or 201-569-1999 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568641058 directly on the NPPES registry website.

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