Individual
DEVANG V LODHAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 SHEPPARD RD, UNIT 300, VOORHEES, NJ 08043-4787
(856) 424-7390
(856) 424-7386
Mailing address
PO BOX 3001, VOORHEES, NJ 08043-0598
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09049800
NJ
207RN0300X
Nephrology Physician
Primary
25MA09049800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1165743
—
LA
01
—
P00310460
MEDICARE RAILROAD
LA
Enumeration date
07/06/2005
Last updated
09/03/2013
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