Shan Sivendra in Tinton Falls - Internal Medicine
Shan Sivendra - NPI 1538154307
Shan Sivendra is a Internal Medicine in Tinton Falls, New Jersey. Shan Sivendra practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shan Sivendra is 1538154307. The last update date is 2008-02-22.
Shan Sivendra's current location address is 66 W Gilbert St, Tinton Falls, New Jersey. You can contact this provider via phone number 7322120060. The mailing address for Shan Sivendra is 66 W Gilbert St, Tinton Falls, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shan Sivendra |
|---|---|
| Address | 66 W Gilbert St, Tinton Falls, New Jersey |
| Phone Number | 7322120060 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538154307 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2008-02-22 |
Provider Mailing Address Detail
| Address | 66 W Gilbert St |
|---|---|
| City | Tinton Falls |
| State | New Jersey (NJ) |
| Post Code | 77014918 |
| Phone Number | 7322120060 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 25MA06930200 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8222801 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shan Sivendra by the Centers for Medicare & Medicaid Services?
The Shan Sivendra has been issued the NPI (National Provider Identifier) 1538154307, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shan Sivendra is physically located?
The Shan Sivendra is situated at the following address: 66 W Gilbert St, Tinton Falls, NJ 77014918.
What is the Shan Sivendra's area of specialization and corresponding taxonomy classification?
The Shan Sivendra's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Shan Sivendra receive its 1538154307 assignment from the Centers for Medicare & Medicaid Services?
The Shan Sivendra was assigned its 1538154307 by the Centers for Medicare & Medicaid Services on 2005-09-16.
When was the information related to Shan Sivendra most recently updated or refreshed?
The details pertaining to the Shan Sivendra, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-22.
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