Selvarajan, Santosh Kumar

Selvarajan, Santosh Kumar is an individual health care provider with primary practice located at 111 S 11Th St Ste 3390, Philadelphia PA 19107-4824. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Selvarajan, Santosh Kumar can be contacted via phone (215) 955-6226.

Contact Information

Primary practice address
111 S 11Th St Ste 3390 Philadelphia PA 19107-4824
Fax: (215) 923-1562
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 242154 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD448952 Pennsylvania

Profile Details

NPI number 1811224561
LBN Legal business name Selvarajan, Santosh Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2009
Last updated Nov 8th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811224561 NPPES
Pennsylvania MEDICAID 102845367
Pennsylvania MEDICAID 0361976

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