Individual
SHANTHI RAMESH SHENOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3090
Mailing address
199 RUTGERS RD W, ORANGEBURG, NY 10962-2728
(845) 359-1993
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA49287
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7136706
—
NJ
Enumeration date
08/14/2006
Last updated
05/08/2009
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