Individual
DR. SHAN M NAGENDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
246 BARKLEY AVE, CLIFTON, NJ 07011-3136
(862) 899-7531
(973) 685-7370
Mailing address
246 BARKLEY AVE, CLIFTON, NJ 07011-3136
(862) 899-7531
(973) 685-7370
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA03001300
NJ
2084P0800X
Psychiatry Physician
Primary
142050
NY
Other
Enumeration date
08/31/2006
Last updated
11/11/2020
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