Individual
RAJ CHAMPAK DEDHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2777
(215) 662-4613
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2777
(215) 662-4613
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
MD467165
PA
Other
Enumeration date
07/14/2008
Last updated
07/11/2019
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