Individual
DR. IMRAN JIVRAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FRCSC
Contact information
Practice address
3737 CHESTNUT ST, APT 809, PHILADELPHIA, PA 19104-7702
(215) 917-2072
Mailing address
3737 CHESTNUT ST, APT 809, PHILADELPHIA, PA 19104-7702
(215) 917-2072
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
119758
ZZ
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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