Individual
JESSE KAVI-RAJ SINANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(610) 429-0693
(423) 826-1290
Mailing address
PO BOX 678678, DALLAS, TX 75267-8678
(610) 429-0693
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
70149
TN
2085R0202X
Diagnostic Radiology Physician
Primary
MD465839
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2014
Last updated
02/02/2024
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