Daviratanasilpa, Svastijaya
Daviratanasilpa, Svastijaya is an individual health care provider with primary practice located at 1198 S Governors Ave Ste B100 , Dover DE 19904-6930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Daviratanasilpa, Svastijaya can be contacted via phone (302) 424-3694.Contact Information
Primary practice address
1198 S Governors Ave Ste B100
Dover DE 19904-6930
Phone: (302) 424-3694
Fax: (302) 424-3697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | C1-0008993 | Delaware |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MT184883 | Pennsylvania |
Profile Details
| NPI number | 1720291404 |
|---|---|
| LBN Legal business name | Daviratanasilpa, Svastijaya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jun 17th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720291404 | NPPES |
| New Jersey | MEDICAID | 0203190 | |
| New Jersey | MEDICAID | 1720291404 |
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