Individual
DR. SANJIV DEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, 4TH FL PARKINSON PAVILION, PHILADELPHIA, PA 19140-5103
(215) 707-3133
(215) 707-3945
Mailing address
2450 W HUNTING PARK AVE, 3/208N, PHILADELPHIA, PA 19129-1302
(215) 707-3133
(215) 707-3945
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD034906E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012821730003
—
PA
01
—
00300
HEALTH PARTNERS
—
01
—
0558554000
KEYSTONE HEALTH PLAN EAST
—
01
—
1000303
KEYSTONE MERCY
—
01
—
128217304
AMERICHOICE
—
01
—
14226
ELDER HEALTH
—
01
—
5036318
AETNA US HEALTHCARE
—
01
—
P1500506
OXFORD HEALTHPLAN
—
Enumeration date
10/26/2006
Last updated
03/21/2017
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