Individual
SHIVAM R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 CLARA MAASS DR DEPT OF, BELLEVILLE, NJ 07109-3550
(856) 264-9712
Mailing address
1 CLARA MAASS DR DEPT OF, BELLEVILLE, NJ 07109-3550
(856) 264-9712
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB12626200
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MB12626200
NJ
Other
Enumeration date
05/20/2020
Last updated
07/23/2025
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