Individual
SHRUTI PANDIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
385 PROSPECT AVE STE 306, HACKENSACK, NJ 07601-2570
(551) 996-9191
Mailing address
385 PROSPECT AVE STE 306, HACKENSACK, NJ 07601-2570
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MA10774400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10774400
MEDICAL LICENSE
NJ
Enumeration date
07/13/2015
Last updated
04/19/2022
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