Kothari, Ketan Hashmukh

Kothari, Ketan Hashmukh is an individual health care provider with primary practice located at 1546 Pratt Street , Philadelphia PA 19124-1923. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Kothari, Ketan Hashmukh can be contacted via phone (215) 533-8555.

Contact Information

Primary practice address
1546 Pratt Street Philadelphia PA 19124-1923
Phone: (215) 533-8555
Fax: (215) 533-8656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X SC004645L Pennsylvania

Profile Details

NPI number 1134280795
LBN Legal business name Kothari, Ketan Hashmukh
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 4th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134280795 NPPES
Pennsylvania MEDICAID 0018311680001
Pennsylvania Other K0830767
Pennsylvania Other 246839
Pennsylvania Other U81914
Pennsylvania Other 480032950
Pennsylvania Other 3075350
Pennsylvania Other 30004716
Pennsylvania Other U8914

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