Individual
DEVAN OODAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8835 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2718
(215) 482-1234
Mailing address
8835 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT226483
PA
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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