Individual
DR. SHIVRAJ JAGDISH DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1726 S BROAD ST, PHILADELPHIA, PA 19145-2300
(215) 463-5008
(215) 463-4223
Mailing address
1501 MOUNT PLEASANT RD, VILLANOVA, PA 19085-2112
(610) 520-1395
(610) 520-1801
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD031575E
PA
Other
Enumeration date
06/09/2006
Last updated
07/09/2007
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