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DR. SANJIV DEWAN MD NPI 1043395296


NPI Information

NPI: 1043395296
Provider Name: DR. SANJIV DEWAN, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Organization: TEMPLE FACULTY PRACTICE PLAN INC

PECOS Registration: Yes

Address:
3401 N BROAD ST
4TH FL PARKINSON PAVILION
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-3133
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DR. Sanjiv Dewan, MD is a surgery in Philadelphia, PA with 51 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Sanjiv Dewan, MD NPI is 1043395296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3401 N BROAD ST
4TH FL PARKINSON PAVILION
PHILADELPHIA, PA
ZIP 19140-103
Phone: (215) 707-3133
Fax: (215) 707-3945

The NPI 1043395296 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 3/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryMD034906EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10012821730003MEDICAIDPENNSYLVANIA
25036318OTHERAETNA US HEALTHCARE
3721293MEDICARE ID-TYPE UNSPECIFIED
4F26617MEDICARE UPIN
5128217304OTHERAMERICHOICE
614226OTHERELDER HEALTH
700300OTHERHEALTH PARTNERS
81000303OTHERKEYSTONE MERCY
9P1500506OTHEROXFORD HEALTHPLAN
100558554000OTHERKEYSTONE HEALTH PLAN EAST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.