Nagendra, Shan M

Nagendra, Shan M is an sole proprietor health care provider with primary practice located at 246 Barkley Ave , Clifton NJ 07011-3136. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Nagendra, Shan M can be contacted via phone (862) 899-7531.

Contact Information

Primary practice address
246 Barkley Ave Clifton NJ 07011-3136
Phone: (862) 899-7531
Fax: (973) 685-7370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA03001300 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 142050 New York

Profile Details

NPI number 1164533659
LBN Legal business name Nagendra, Shan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Nov 11th, 2020 - about 5 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.

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