Shahane, Manoj R

Shahane, Manoj R is an individual health care provider with primary practice located at 33 Overlook Rd Ste. 311, Summit NJ 07901-3570. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shahane, Manoj R can be contacted via phone (800) 394-4445.

Contact Information

Primary practice address
33 Overlook Rd Ste. 311 Summit NJ 07901-3570
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA07365100 New Jersey

Profile Details

NPI number 1891755666
LBN Legal business name Shahane, Manoj R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Feb 7th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891755666 NPPES
New Jersey MEDICAID 8844607

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