Provider Demographics
NPI:1770017121
Name:DIKDAN, SEAN JAMES (MD, MPH)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:JAMES
Last Name:DIKDAN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HYGEIA DR STE 1360
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:302-623-1929
Mailing Address - Fax:302-368-7943
Practice Address - Street 1:200 HYGEIA DR STE 1360
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2049
Practice Address - Country:US
Practice Address - Phone:302-623-1929
Practice Address - Fax:302-368-7943
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-12
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0028078207R00000X, 207RC0000X
MDD0104523207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine