DR. SHRADDHA JATWANI (NPI# 1063641017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063641017 |
| Entity Type | Individual |
| Full Name | DR. SHRADDHA JATWANI |
| Credential | MD |
| Practice Address |
5401 Old York Rd Ste 202 Philadelphia PA 19141-3044 |
| Mailing Address |
5401 Old York Rd Philadelphia PA 19141-3030 |
| Practice Telephone | 2154567380 |
| Practice Fax Number | 2154563898 |
| Mailing Telephone | 2154567380 |
| Mailing Fax Number | 2154563898 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01079840A | IN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | BP10034936 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD467962 | PA | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
01079840A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 8124851400 |
| Street Address |
5401 OLD YORK RD STE 202 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570916 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 6, Philadelphia, PA 19107-1519 | 2019-10-25 |
| 1093058877 | Kanchana Nilupul Herath | Internal Medicine | 1261 Division Highway, Ste 2, Philadelphia, PA 17522-8822 | 2013-03-31 |
| 1578849162 | Donald M. Friedman | Internal Medicine | 1802 Waverly St, Philadelphia, PA 19146-1423 | 2011-10-26 |
| 1992930408 | Sara Dana Wasserman | Internal Medicine | 3737 Market St Fl 6, Philadelphia, PA 19104 | 2009-05-28 |
| 1053448308 | Arthritis & Rheumatology | Internal Medicine | 245 N Broad Street, Ste 403, Philadelphia, PA 19107 | 2007-02-27 |
| 1023048683 | Lan X Chen | Internal Medicine | 3910 Market St, Rheumatology 2nd Fl. Penn Presbyterian Medical Center, Philadelphia, PA 19104-3149 | 2006-07-03 |
| 1760431548 | Bruce I Hoffman | Internal Medicine | 7908 Bustleton Ave, #b, Philadelphia, PA 19152 | 2006-05-09 |
| 1376518233 | David A Allan | Internal Medicine | 3910 Powelton Ave, 2nd Floor, Philadelphia, PA 19104-2692 | 2006-02-22 |
| 1114929585 | Oscar Horacio Irigoyen | Internal Medicine | 1015 Walnut St, Ste 613, Philadelphia, PA 19107-5005 | 2005-08-15 |
| 1346245073 | Michele Meltzer | Internal Medicine | 211 S 9th St, Suite 600, Philadelphia, PA 19107-6810 | 2005-06-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.