Provider Demographics
NPI:1598313488
Name:RAJHANSA, DEV AVINASH
Entity Type:Individual
Prefix:DR
First Name:DEV
Middle Name:AVINASH
Last Name:RAJHANSA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W ALLENS LN
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-4101
Mailing Address - Country:US
Mailing Address - Phone:215-316-9281
Mailing Address - Fax:
Practice Address - Street 1:101 W ALLENS LN
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-4101
Practice Address - Country:US
Practice Address - Phone:215-316-9281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor