Individual
DR. SHANKAR RAJESWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF RADIOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-1190
(215) 590-4668
Mailing address
2021 CHESTNUT STREET, APT 705, PHILADELPHIA, PA 19103
(610) 453-2913
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
MT196869
PA
2085R0202X
Diagnostic Radiology Physician
036-130483
IL
Other
Enumeration date
06/10/2009
Last updated
08/20/2020
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