Organization
SHAMBHAVI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALINI B RAO MD (CEO)
(914) 648-9228
Entity
Organization
Contact information
Practice address
77 HUDSON ST, UNIT #3107, JERSEY CITY, NJ 07302-8517
(914) 648-9228
Mailing address
PO BOX 406, JERSEY CITY, NJ 07303-0406
(914) 648-9228
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA08864300
NJ
Other
Enumeration date
10/07/2012
Last updated
10/07/2012
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