Individual
DR. SHANTI EPPANAPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1060 CLIFTON AVE, CLIFTON, NJ 07013-3638
(973) 779-7361
(973) 779-7385
Mailing address
PO BOX 1258, CLIFTON, NJ 07012-0758
(973) 779-7361
(973) 779-7385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06866400
NJ
208VP0014X
Interventional Pain Medicine Physician
25MA06866400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8034206
—
NJ
Enumeration date
06/26/2006
Last updated
05/31/2011
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