# SHAMBHAVI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346592904
- **Authorized official:** DR. MALINI B RAO MD (CEO)
- **Authorized official phone:** (914) 648-9228

## Contact information

- **Practice address:** 77 HUDSON ST, UNIT \#3107, JERSEY CITY, NJ 07302-8517
- **Practice address phone:** (914) 648-9228
- **Mailing address:** PO BOX 406, JERSEY CITY, NJ 07303-0406
- **Mailing address phone:** (914) 648-9228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 25MA08864300 | NJ | Yes |

## Other

- **Enumeration date:** 10/07/2012
- **Last updated:** 10/07/2012