Healthcare Provider Details

I. General information

NPI: 1184253817
Provider Name (Legal Business Name): RAGHAV SAHNI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2020
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 BRICK RD
MARLTON NJ
08053-2177
US

IV. Provider business mailing address

307 S EVERGREEN AVE
WOODBURY NJ
08096-2739
US

V. Phone/Fax

Practice location:
  • Phone: 856-355-6060
  • Fax:
Mailing address:
  • Phone: 856-686-4336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS022697
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MB12627900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: