Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAN M NAGENDRA, M.D.
Active Sole ProprietorDR. SHAN M NAGENDRA, M.D. is a Psychiatry healthcare provider located in CLIFTON, New Jersey. NPI 1164533659 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · CLIFTON, NJ
Registration Details
- NPI Number
- 1164533659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.947096548381 yrs)
- Last Updated
- Nov 11, 2020
- Licenses
-
25MA03001300 (NJ)142050 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
246 BARKLEY AVECLIFTON, NJ, 070113136Browse NJ providers · Browse ZIP 07011
- Phone
- 8628997531
- Fax
- 9736857370
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in CLIFTON, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. BOLIVAR PASCUAL | M.D. | 1104882141 |
| DR. PAUL P CUSANO | MD | 1710924048 |
| MICHAEL MAGERA | M.D. | 1407899818 |
| DR. ISIDORE MICHAEL KEIMAN | M.D. | 1174532022 |
| DILIP AMRYTLAL SHAH | MD | 1689728040 |
| DIANA RICCIOLI | M.D. | 1073631081 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.