Eppanapally, Shanti
Eppanapally, Shanti is an individual health care provider with primary practice located at 1060 Clifton Ave , Clifton NJ 07013-3638. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Eppanapally, Shanti can be contacted via phone (973) 779-7361.Contact Information
Primary practice address
1060 Clifton Ave
Clifton NJ 07013-3638
Phone: (973) 779-7361
Fax: (973) 779-7385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA06866400 | New Jersey |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 25MA06866400 | New Jersey |
Profile Details
| NPI number | 1306872635 |
|---|---|
| LBN Legal business name | Eppanapally, Shanti |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | May 31st, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306872635 | NPPES |
| New Jersey | MEDICAID | 8034206 |
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