Dr. Shan M Nagendra, MD
Psychiatry & Neurology, Psychiatry in Clifton, New Jersey
1164533659- Practice location
- 246 Barkley Ave, Clifton, NJ 07011-3136
- Phone
- 862-899-7531
- Fax
- 973-685-7370
- Last updated
- November 11, 2020
Shan M Nagendra is a Psychiatry & Neurology, Psychiatry based in Clifton, NJ. Shan M Nagendra practices in Clifton, NJ and has the professional credentials of MD. The NPI Number for Shan M Nagendra is 1164533659 and holds a License No. 25MA03001300 (NJ). The current practice location address for Shan M Nagendra is 246 Barkley Ave, Clifton, NJ 07011-3136 and can be reached out via phone at 862-899-7531 and via fax at 973-685-7370.
Provider Profile Details
- NPI Number
- 1164533659
- Provider Name
- Shan M Nagendra
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 246 Barkley Ave, Clifton, NJ 07011-3136
- Phone Number
- 862-899-7531
- Fax Number
- 973-685-7370
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- November 11, 2020
- Certification Date
- November 11, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 246 Barkley Ave
Clifton, NJ 07011-3136 - City
- Clifton
- State
- New Jersey
- Zip
- 07011-3136
- Phone Number
- 862-899-7531
- Fax Number
- 973-685-7370
Provider Business Mailing Address Details
- Address
- 246 Barkley Ave
Clifton, NJ 07011-3136 - City
- Clifton
- State
- NJ
- Zip
- 07011-3136
- Phone Number
- 862-899-7531
- Fax Number
- 973-685-7370
License Information
- License Number (1)
- 25MA03001300
- License State (1)
- NJ
- Taxonomy (1)
- Specialist · 174400000X
- License Number (2)
- 142050
- License State (2)
- NY
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Shan M Nagendra, MD?
The NPI number of Dr. Shan M Nagendra, MD is 1164533659. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Shan M Nagendra, MD?
Dr. Shan M Nagendra, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number 25MA03001300.
Where does Dr. Shan M Nagendra, MD practice?
The practice location is 246 Barkley Ave, Clifton, NJ 07011-3136. The office can be reached at 862-899-7531 (phone) or 973-685-7370 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164533659 directly on the NPPES registry website.