Sardesai, Tara
Sardesai, Tara is an individual health care provider with primary practice located at 3401 Civic Center Blvd Division Of Pediatric Nephrology, Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Sardesai, Tara can be contacted via phone (215) 590-2449.Contact Information
Primary practice address
3401 Civic Center Blvd Division Of Pediatric Nephrology
Philadelphia PA 19104-4319
Phone: (215) 590-2449
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ML60866223 | Washington |
Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | MT222214 | Pennsylvania |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD474452 | Pennsylvania |
Profile Details
NPI number | 1760986475 |
---|---|
LBN Legal business name | Sardesai, Tara |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 19th, 2018 |
Last updated | Jun 21st, 2021 - about 4 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.
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