Individual
RITI MAHADEVIA KANESA-THASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 S 10TH ST, PHILADELPHIA, PA 19107-5244
(215) 955-6000
Mailing address
132 S 10TH ST, SUITE 780-A MAIN BLDG, PHILADELPHIA, PA 19107-5244
(215) 503-4529
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD469683
PA
2085R0202X
Diagnostic Radiology Physician
MT210302
PA
Other
Enumeration date
02/09/2015
Last updated
02/17/2021
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