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Contact Information

HARISH KAKKILAYA, MD
500 BERLIN CROSS KEYS RD
SICKLERVILLE, NJ08081
 Phone: 856-673-4500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HARISH KAKKILAYA · (Male)

NPI # 1902064140
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2008
Last updated 07/09/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • DE License # C1-0011498
  • MD License # D0067469
  • NJ License # 25MA08543800
  • NJ Medicaid 0198617
Hospital affiliation(s)
  • MEMORIAL HOSPITAL OF SALEM COUNTY - (Acute Care)
    310 WOODSTOWN ROAD
    SALEM, NJ 08079
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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