Provider Demographics
NPI:1962488064
Name:DOGHRAMJI, JAMES (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:DOGHRAMJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 TIMBER RD
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-3810
Mailing Address - Country:US
Mailing Address - Phone:215-901-1514
Mailing Address - Fax:215-434-7292
Practice Address - Street 1:19 TIMBER RD
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-3810
Practice Address - Country:US
Practice Address - Phone:215-901-1514
Practice Address - Fax:215-434-7292
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045399L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF52466Medicare UPIN