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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHIVANI KHETANI, MD

Active

SHIVANI KHETANI, MD is a Endocrinology, Diabetes & Metabolism healthcare provider located in FAIR LAWN, New Jersey. NPI 1639793540 is currently active in the NPPES registry. Verify at CMS.

Endocrinology, Diabetes & Metabolism · FAIR LAWN, NJ

Registration Details

NPI Number
1639793540
Provider Type
Individual
Gender
Female
NPI Issued
Jun 5, 2020 (6.2198550787043 yrs)
Last Updated
Jul 18, 2025
Licenses
UTRESIDENT (TN)
25MA12757900 (NJ)

Practice Information

Address
22-18 BROADWAY STE 201
FAIR LAWN, NJ, 074103016
Browse NJ providers · Browse ZIP 07410
Phone
8622979696
Primary Specialty
Endocrinology, Diabetes & Metabolism
207RE0101X

Other Endocrinology, Diabetes & Metabolism Providers in FAIR LAWN, NJ

Name Credential NPI
DIMA YESHOU MD 1124287412
JUSTINA M DEITZ D.O. 1699922880
RAHUL AGARWAL MD 1083051676
ERICA WEITZNER M.D. 1154715415
HADIR MOHAMED M.D. 1992158141
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.