Provider Demographics
NPI:1710159413
Name:EXPRESSCARE HEALTH LLC
Entity Type:Organization
Organization Name:EXPRESSCARE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DADHANIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-287-0362
Mailing Address - Street 1:8004 LINCOLN DR W STE H
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3213
Mailing Address - Country:US
Mailing Address - Phone:856-596-3100
Mailing Address - Fax:
Practice Address - Street 1:6301 OXFORD AVE
Practice Address - Street 2:EXPRESSCARE, INSIDE SHOPRITE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-5366
Practice Address - Country:US
Practice Address - Phone:215-744-5739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care