Provider Demographics
NPI:1831568567
Name:SAHIJWANI, RAJ (DC)
Entity type:Individual
Prefix:DR
First Name:RAJ
Middle Name:
Last Name:SAHIJWANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WESTTOWN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-8902
Mailing Address - Country:US
Mailing Address - Phone:610-344-0384
Mailing Address - Fax:
Practice Address - Street 1:105 WESTTOWN RD
Practice Address - Street 2:SUITE A
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-8902
Practice Address - Country:US
Practice Address - Phone:610-344-0384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-23
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011073111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA488548Medicare PIN