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Organization
PENN MEDICAL SERVICES, P.C.
Active
Organization
PENN MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAN NAGENDRA M.D. (OWNER)
(121) 726-0076
Entity
Organization
Contact information
Practice address
165 E 32ND ST, NEW YORK, NY 10016-6054
(212) 726-0076
Mailing address
165 E 32ND ST, NEW YORK, NY 10016-6054
(212) 726-0076
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
142050
NY
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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