Provider Demographics
NPI:1477662013
Name:SENGUPTA, SHYAMASHREE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHYAMASHREE
Middle Name:
Last Name:SENGUPTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 AUER CT
Mailing Address - Street 2:SUITES A AND B
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5823
Mailing Address - Country:US
Mailing Address - Phone:732-390-1020
Mailing Address - Fax:732-390-8035
Practice Address - Street 1:1 AUER CT
Practice Address - Street 2:SUITES A AND B
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5823
Practice Address - Country:US
Practice Address - Phone:732-390-1020
Practice Address - Fax:732-390-8035
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04462900207VM0101X
PAMD031191-E207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJSE510934Medicare ID - Type Unspecified
NJE53848Medicare UPIN