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Niveditha Thangaraj
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1164809471

Niveditha Thangaraj is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Niveditha Thangaraj practices in Philadelphia, PA. The NPI Number for Niveditha Thangaraj is 1164809471 and holds a License No. MD471342 (Pennsylvania).

The current practice location address for Niveditha Thangaraj is 3401 N Broad St, Philadelphia, PA and can be reached out via phone at 215-707-7237 and via fax at 215-707-9389.

Location: 3401 N Broad St, Philadelphia, PA, 19140-5103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164809471
Provider Name
Niveditha Thangaraj
Credential
Provider Entity Type
Individual
Gender
Female
Address
3401 N Broad St, Philadelphia, PA, 19140-5103
Phone Number
215-707-7237
Fax Number
215-707-9389
Provider Enumeration Date
05/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3401 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140-5103
Phone Number
215-707-7237
Fax Number
215-707-9389
person
Provider Business Mailing Address Details
Address
3401 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140-5103
Phone Number
215-707-7237
Fax Number
215-707-9389
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD471342 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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