Individual
KANAN V. SHRIDHARANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8683
(908) 608-2378
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8683
(908) 608-2378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08639700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01517546
—
NY
Enumeration date
10/09/2006
Last updated
04/02/2021
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