Provider Demographics
NPI:1851363360
Name:MAHAL, SHARAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARAN
Middle Name:S
Last Name:MAHAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:245 UNION AVE
Mailing Address - Street 2:STE 1A
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3064
Mailing Address - Country:US
Mailing Address - Phone:908-864-4027
Mailing Address - Fax:908-864-4029
Practice Address - Street 1:245 UNION AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3064
Practice Address - Country:US
Practice Address - Phone:908-864-4027
Practice Address - Fax:908-864-4029
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2017-02-28
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA48792207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1443500Medicaid
NJE56876Medicare UPIN
NJ626700B86Medicare PIN