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NPI Code Detail

MEDICARE: DR. SHOBANA NATARAJAN M.D.

MEDICARE:  DR. SHOBANA  NATARAJAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA06910100NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11000621400OTHERNJAMERICHOICE OF NJ
22590924OTHERGHI
3870967000OTHERAMERIHEALTH HMO
41989550OTHERUNITED HEALTHCARE GROUP
52K3618OTHERHEALTHNET
67129105OTHERAETNA PPO
73695582OTHERAETNA HMO
8925481OTHERAMERIHEALTH PPO
93502595OTHERCIGNA
10P2752621OTHEROXFROD HEALTH PLAN
11020613322OTHERHORIZON BCBS OF NJ
121128842OTHERHORIZON NJ HEALTH PLAN
13216AY1OTHEREMPIRE BCBS
14MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639174394
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHOBANA NATARAJAN M.D.
Provider Business Mailing Address
First Line : 174 FLEET AVE
Second Line :
City : EDISON
State : NJ
Zip : 08820-2430
Country : US
Telephone Number : 732-205-9660
Fax Number :
Provider Business Practice Location Address
First Line : 904 OAK TREE AVE
Second Line : STE M
City : SOUTH PLAINFIELD
State : NJ
Zip : 07080-5126
Country : US
Telephone Number : 908-757-1414
Fax Number : 908-757-3317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 01/02/2015

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