person
Ketan Hashmukh Kothari, DPM
Primary Podiatric Medicine Podiatrist in Philadelphia, Pennsylvania
NPI 1134280795

Ketan Hashmukh Kothari is a Primary Podiatric Medicine Podiatrist based in Philadelphia, PA and is specialized in Primary Podiatric Medicine. Ketan Hashmukh Kothari practices in Philadelphia, PA and has the professional credentials of DPM. The NPI Number for Ketan Hashmukh Kothari is 1134280795 and holds a License No. SC004645L (Pennsylvania).

The current practice location address for Ketan Hashmukh Kothari is 1546 Pratt Street, Philadelphia, PA and can be reached out via phone at 215-533-8555 and via fax at 215-533-8656. You can also correspond with Ketan Hashmukh Kothari through the mailing address at 1546 PRATT STREET, PHILADELPHIA, PA - 19124-1923 (mailing address contact number: 215-533-8555).

Location: 1546 Pratt Street, Philadelphia, PA, 19124-1923
person
Provider Profile Details
NPI Number
1134280795
Provider Name
Ketan Hashmukh Kothari
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1546 Pratt Street, Philadelphia, PA, 19124-1923
Phone Number
215-533-8555
Fax Number
215-533-8656
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0018311680001 05 PA
K0830767 01 PA BLUE SHIELD
246839 01 PA FIRST HEALTH
U81914 01 UNITED
480032950 01 RAIL ROAD MEDICARE
3075350 01 PA AETNA
30004716 01 PA KEYSTONE MERCY
U8914 01 HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
1546 Pratt Street
City
State
Zip
19124-1923
Phone Number
215-533-8555
Fax Number
215-533-8656
person
Provider Business Mailing Address Details
Address
1546 Pratt Street
City
State
Zip
19124-1923
Phone Number
215-533-8555
Fax Number
215-533-8656
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
SC004645L (Pennsylvania)
Definition
Definition to come...
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