Provider Demographics
NPI:1144533795
Name:SHEKARI, SEENA (DO)
Entity type:Individual
Prefix:DR
First Name:SEENA
Middle Name:
Last Name:SHEKARI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-3697
Mailing Address - Country:US
Mailing Address - Phone:201-387-7055
Mailing Address - Fax:201-387-8605
Practice Address - Street 1:40 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:DUMONT
Practice Address - State:NJ
Practice Address - Zip Code:07628-3697
Practice Address - Country:US
Practice Address - Phone:201-387-7055
Practice Address - Fax:201-387-8605
Is Sole Proprietor?:No
Enumeration Date:2010-07-23
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09070400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine