Dr. Shashi Raj Divaker, MD
Dr. Shashi Raj Divaker, MD is an Internal Medicine in Philadelphia, Pennsylvania. Qualified in 1989, 37 years ago. Practices with City of Philadelphia, a 87-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 37
- Licensed in
- PA
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2840 W Dauphin St Strawberry Mansion Health CtrPhiladelphia, PA 19132-4627
Phone: (215) 685-2400
Fax: (215) 685-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD065696L (PA) |
|---|
Record details
| NPI number | 1275646218 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 16, 2006 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1989 (37 years in practice) |
| Group practice | City Of Philadelphia — 87 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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