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:
Health care specialties
| Specialty | Code | License # | 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 4 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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