| Shahid Latif, MD | |
|
565 New Brunswick Ave, Fords, NJ 08863 | |
| (732) 738-8000 | |
| (732) 738-1663 |
| Full Name | Shahid Latif |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 565 New Brunswick Ave, Fords, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609941764 | NPI | - | NPPES |
| 1257005 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA036172 (New Jersey) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MA036172 (New Jersey) | Primary |
| Entity Name | Clarabarton Cardio Medical Association Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215019997 PECOS PAC ID: 3375591704 Enrollment ID: O20050112000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Shahid Latif, MD 565 New Brunswick Ave, Fords, NJ 08863 Ph: (732) 738-8000 | Shahid Latif, MD 565 New Brunswick Ave, Fords, NJ 08863 Ph: (732) 738-8000 |
Pervaize Latif, MD FACA Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 565 New Brunswick Ave, Fords, NJ 08863 Phone: 732-738-8000 Fax: 732-738-1663 | |
Ajit Sodhi, MD FACC Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 565 New Brunswick Ave, Fords, NJ 08863 Phone: 732-738-8000 Fax: 732-738-1663 |