Individual
SHAAN SARODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(484) 622-1000
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB1215100
NJ
Other
Enumeration date
06/22/2021
Last updated
10/02/2024
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