| Kishan-henal,llc | |
|
1008 Commons Way Toms River NJ 08755-6429 | |
| (732) 228-7407 | |
| Not Available |
| Full Name | Kishan-henal,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1008 Commons Way, Toms River, New Jersey |
| Authorized Official Name and Position | Himanshu K Patel (PRESIDENT) |
| Authorized Official Contact | 7328647324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kishan-henal,llc 223 Gordons Corner Rd Marlboro NJ 07746-1257 Ph: () - | Kishan-henal,llc 1008 Commons Way Toms River NJ 08755-6429 Ph: (732) 228-7407 |
| NPI Number | 1720334550 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 10/02/2024 |
| Medicare PECOS PAC ID | 9335397660 |
|---|---|
| Medicare Enrollment ID | O20120912000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720334550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0400485692 (New Jersey) | Primary |
| Provider Name | Himanshu K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619142833 PECOS PAC ID: 3072672344 Enrollment ID: I20081103000009 |
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