Provider Demographics
NPI:1417268863
Name:ISHWAR, ARADHANA S (DO)
Entity Type:Individual
Prefix:
First Name:ARADHANA
Middle Name:S
Last Name:ISHWAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:145 S BRINTON LAKE RD
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-2281
Mailing Address - Country:US
Mailing Address - Phone:610-459-1619
Mailing Address - Fax:610-459-1865
Practice Address - Street 1:145 S BRINTON LAKE RD
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-2281
Practice Address - Country:US
Practice Address - Phone:610-459-1619
Practice Address - Fax:610-459-1865
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOT013661207Q00000X
PAOS015803207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine