Shan Nagendra,M.D.P.C.

LBN: Shan Nagendra,M.D.P.C.
Shan Nagendra,M.D.P.C. is an health care organization with primary practice located at 654 Avenue C , Bayonne NJ 07002-3899. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Shan Nagendra,M.D.P.C. can be contacted via phone (201) 823-3390, or through Nagendra, Shan via phone (201) 823-3390.

Contact Information

Primary practice address
654 Avenue C Bayonne NJ 07002-3899
Phone: (201) 823-3390
Fax: (201) 823-4420
Website:
Map and Directions
Authorized official contact:
Name: Nagendra, Shan Doctor of Medicine (MD)
Phone: (201) 823-3390

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA30013 New Jersey

Profile Details

NPI number 1174705776
LBN Legal business name Shan Nagendra,M.D.P.C.
DBA Doing business as
Authorized official Nagendra, Shan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2007
Last updated Dec 5th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174705776 NPPES
New Jersey MEDICAID 3195503

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