Individual
DR. SANTOSH KUMAR SELVARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, STE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Mailing address
111 S 11TH ST, STE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
242154
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD448952
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361976
—
NJ
05
—
102845367
—
PA
Enumeration date
11/17/2009
Last updated
06/20/2025
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