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Dr. Shan Sivendra, MD
General Practice Physician in Livingston, New Jersey
NPI 1538154307

Shan Sivendra is a General Practice Physician based in Tinton Falls, NJ. Shan Sivendra practices in Livingston, NJ and has the professional credentials of MD. The NPI Number for Shan Sivendra is 1538154307 and holds a License No. 25MA06930200 (New Jersey).

The current practice location address for Shan Sivendra is 94 Old Short Hills Rd, Livingston, NJ and can be reached out via phone at 201-322-5000.

Location: 94 Old Short Hills Rd, Livingston, NJ, 07701-4918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538154307
Provider Name
Shan Sivendra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
94 Old Short Hills Rd, Livingston, NJ, 07701-4918
Phone Number
201-322-5000
Fax Number
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8222801 05 NJ
institution
Provider Business Practice Location Address Details
Address
94 Old Short Hills Rd
City
Livingston
State
New Jersey
Zip
07039-5672
Phone Number
201-322-5000
Fax Number
person
Provider Business Mailing Address Details
Address
94 Old Short Hills Rd
City
Livingston
State
New Jersey
Zip
07039-5672
Phone Number
201-322-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
25MA06930200 (New Jersey)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
25MA06930200 (New Jersey)
Definition
Definition to come...
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