Individual
VIJILADEVI PERSIS DHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 SANSOM ST, PHILADELPHIA, PA 19107
(215) 955-6844
(215) 955-2526
Mailing address
1020 SANSOM ST STE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
222256
MA
207P00000X
Emergency Medicine Physician
4301094431
MI
207P00000X
Emergency Medicine Physician
Primary
MD452038
PA
207R00000X
Internal Medicine Physician
222256
MA
207R00000X
Internal Medicine Physician
4301094431
MI
Other
Enumeration date
05/21/2007
Last updated
03/22/2024
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