Individual
SUHAS SHANBHAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
SULLIVAN WAY, TRENTON PSYCHIATRIC HOSPITAL, WEST TRENTON, NJ 08628
(609) 633-1502
Mailing address
PO BOX 7500, SULLIVAN WAY, WEST TRENTON, NJ 08628
(609) 633-1502
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA69796
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8764808
—
NJ
Enumeration date
02/06/2006
Last updated
12/22/2010
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