Provider Demographics
NPI:1366703449
Name:LODAYA, BHADRI PADAMSHI (RPH)
Entity type:Individual
Prefix:
First Name:BHADRI
Middle Name:PADAMSHI
Last Name:LODAYA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BARLEY CT
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-3100
Mailing Address - Country:US
Mailing Address - Phone:609-716-7423
Mailing Address - Fax:
Practice Address - Street 1:651 N STILES ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-5759
Practice Address - Country:US
Practice Address - Phone:908-486-4371
Practice Address - Fax:908-486-8754
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01734600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist