Pandey, Shivendra
Pandey, Shivendra is an individual health care provider with primary practice located at 204 Jack Martin Blvd Suite C3, Brick NJ 08724-7770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Pandey, Shivendra can be contacted via phone (732) 840-0880.Contact Information
Primary practice address
204 Jack Martin Blvd Suite C3
Brick NJ 08724-7770
Phone: (732) 840-0880
Fax: (732) 840-3499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 25MA06669100 | New Jersey |
Profile Details
| NPI number | 1720044308 |
|---|---|
| LBN Legal business name | Pandey, Shivendra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Jun 29th, 2016 - about 9 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 | 1720044308 | NPPES |
| New Jersey | MEDICAID | 8177201 |
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