Sanjna S Shah, MD | |
300 2nd Ave, Long Branch, NJ 07740-6303 | |
(732) 222-5200 | |
Not Available |
Full Name | Sanjna S Shah |
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Gender | Female |
Speciality | Pediatrics |
Location | 300 2nd Ave, Long Branch, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083956478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 25MA10288700 (New Jersey) | Secondary |
208000000X | Pediatrics | MD458197 (Ohio) | Primary |
Entity Name | St Clair Professional Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427270594 PECOS PAC ID: 4284672742 Enrollment ID: O20050425000590 |
Mailing Address | Practice Location Address |
---|---|
Sanjna S Shah, MD 300 2nd Ave, Long Branch, NJ 07740-6303 Ph: (732) 222-5200 | Sanjna S Shah, MD 300 2nd Ave, Long Branch, NJ 07740-6303 Ph: (732) 222-5200 |
Dr. Kirby Douglas Rekedal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-6860 | |
Amit C Misra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Second Avenue, Long Branch, NJ 07740 Phone: 732-923-8600 | |
Dr. Richard J Degroote Ii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-7100 Fax: 732-923-7104 | |
Tina Susanne Rakitt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 279 3rd Ave, Suite 101, Long Branch, NJ 07740 Phone: 732-923-6080 Fax: 732-923-6083 | |
Imtiaz Ahmed, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 610-400-5782 | |
Dr. Danielle Denise Amona, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-222-5200 | |
Dr. Thomas Habib, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 255 3rd Ave, Long Branch, NJ 07740 Phone: 732-222-7006 |