Shivaprasad Marulendra in Pennington - Specialist

Shivaprasad Marulendra - NPI 1205810926

Shivaprasad Marulendra is a Specialist in Pennington, New Jersey. Shivaprasad Marulendra practices all healthcare services and medical treatments related to Specialist. The NPI Number for Shivaprasad Marulendra is 1205810926. The last update date is 2021-01-29.

Shivaprasad Marulendra's current location address is 27 Tara Way, Pennington, New Jersey. You can contact this provider via phone number 6094773003. The mailing address for Shivaprasad Marulendra is 27 Tara Way, Pennington, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Shivaprasad Marulendra
Address 27 Tara Way, Pennington, New Jersey
Phone Number 6094773003
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1205810926
Provider Enumeration Date 2005-12-06
Last Updated Date 2021-01-29

Provider Mailing Address Detail

Address 27 Tara Way
City Pennington
State New Jersey (NJ)
Post Code 85342100
Phone Number 6094773003
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 25MA06405900
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
28B141 NH EMPIRE HEALTH CARE
3977218008 NH CIGNA
653760001 NJ ONE HEALTH PLAN
214881 IL MEDICARE GROUP PTAN
5711065 NJ GHI
63162 NJ LOCAL 825 PPO
7050607 NJ --
744595 NH FIRST HEALTH
2K7529 NJ HEALTHNET
4651687 NJ AETNAPPO

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FAQs about Shivaprasad Marulendra

What is the unique identifier code issued to Shivaprasad Marulendra by the Centers for Medicare & Medicaid Services (CMS)?

The Shivaprasad Marulendra has been assigned the NPI (National Provider Identifier) 1205810926. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Shivaprasad Marulendra?

The Shivaprasad Marulendra is physically situated at 27 Tara Way, in the city of Pennington, state of NJ, with the postal code 85342100.

What is the Shivaprasad Marulendra's specialty and taxonomy code?

The Shivaprasad Marulendra's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1205810926 to Shivaprasad Marulendra?

The Centers for Medicare & Medicaid Services assigned the 1205810926 to Shivaprasad Marulendra on 2005-12-06.

When was the information related to Shivaprasad Marulendra most recently updated or refreshed?

The details pertaining to the Shivaprasad Marulendra, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-01-29.

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