Provider Demographics
NPI:1992251144
Name:VEKARIA, SHIVANI (MD)
Entity type:Individual
Prefix:DR
First Name:SHIVANI
Middle Name:
Last Name:VEKARIA
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 1:4735 OGLETOWN STANTON RD STE 3201
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2094
Mailing Address - Country:US
Mailing Address - Phone:302-623-4323
Mailing Address - Fax:302-623-4315
Practice Address - Street 1:4735 OGLETOWN STANTON RD STE 3201
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2094
Practice Address - Country:US
Practice Address - Phone:302-623-4323
Practice Address - Fax:302-623-4315
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10565800207RE0101X, 207R00000X
DEC1-0024998207R00000X, 207RE0101X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program