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Contact Information

SUSHIL K MEHANDRU, MD
1925 HWY 35 W
WALL TOWNSHIP, NJ07719
 Phone: 732-974-0100
 Fax: 732-974-0137
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUSHIL K MEHANDRU · (Male)

NPI Number 1366453409
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 07/29/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA034596
  • NJ Medicaid 2634201
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • OCEAN MEDICAL CENTER - (Acute Care)
    425 JACK MARTIN BLVD
    BRICK, NJ 08724
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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