Dewan, Sanjiv

Dewan, Sanjiv is an individual health care provider with primary practice located at 3401 N Broad St 4Th Fl Parkinson Pavilion, Philadelphia PA 19140-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dewan, Sanjiv can be contacted via phone (215) 707-3133.

Contact Information

Primary practice address
3401 N Broad St 4Th Fl Parkinson Pavilion Philadelphia PA 19140-5103
Phone: (215) 707-3133
Fax: (215) 707-3945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD034906E Pennsylvania

Profile Details

NPI number 1043395296
LBN Legal business name Dewan, Sanjiv
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Mar 21st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043395296 NPPES
Other 0558554000 KEYSTONE HEALTH PLAN EAST
Other P1500506 KEYSTONE HEALTH PLAN EAST
Other 128217304 KEYSTONE HEALTH PLAN EAST
Other 00300 KEYSTONE HEALTH PLAN EAST
Other 1000303 KEYSTONE HEALTH PLAN EAST
Other 14226 KEYSTONE HEALTH PLAN EAST
MEDICAID 0012821730003 KEYSTONE HEALTH PLAN EAST
Other 5036318 KEYSTONE HEALTH PLAN EAST

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