Individual
SANJAY R CHAINANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC HOSPITAL MEDICINE, PHILADELPHIA, PA 19104
(348) 126-7590
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC HOSPITAL MEDICINE, PHILADELPHIA, PA 19104
(267) 590-3481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
293035
MA
208000000X
Pediatrics Physician
293035
MA
208000000X
Pediatrics Physician
Primary
MT230603
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110153344A
—
MA
Enumeration date
03/20/2019
Last updated
06/24/2024
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