Provider Demographics
NPI:1053515866
Name:ARNALA, THRIVENI (MD,)
Entity type:Individual
Prefix:DR
First Name:THRIVENI
Middle Name:
Last Name:ARNALA
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:THRIVENI
Other - Middle Name:
Other - Last Name:CHANDRASEKARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,
Mailing Address - Street 1:220 DEERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-2634
Mailing Address - Country:US
Mailing Address - Phone:732-967-6200
Mailing Address - Fax:
Practice Address - Street 1:1,ETHEL ROAD
Practice Address - Street 2:SUITE 106 A
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854
Practice Address - Country:US
Practice Address - Phone:908-342-4708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08467000207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program