Individual
HENISH KISHORBHAI RAIYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL CAMPUS DR, LANSDALE, PA 19446-1259
(215) 361-4854
(215) 361-4933
Mailing address
100 MEDICAL CAMPUS DR, LANSDALE, PA 19446-1259
(215) 361-4854
(215) 361-4933
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD461831
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103359619
—
PA
Enumeration date
09/04/2014
Last updated
04/11/2018
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