Individual
DR. SHIVEINDRA B JEYAMOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1680 ROUTE 23 STE 250, WAYNE, NJ 07470-7520
(973) 633-1122
(973) 832-7550
Mailing address
93 LEONARD ST APT 3, NEW YORK, NY 10013-3458
(609) 575-3698
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA10821200
NJ
207T00000X
Neurological Surgery Physician
MD60544491
WA
Other
Enumeration date
04/12/2009
Last updated
05/31/2025
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