Organization
SHIVENDRA PANDEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVENDRA PANDEY (PRESIDENT)
(732) 735-5455
Entity
Organization
Contact information
Practice address
2640 HIGHWAY 70, SUITE 101B BUILDING 12, MANASQUAN, NJ 08736-2609
(732) 223-0008
(732) 223-8020
Mailing address
19 FULLING MILL LN, COLTS NECK, NJ 07722-1278
(732) 223-0008
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA66691
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8177201
—
NJ
Enumeration date
09/25/2009
Last updated
09/25/2009
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