KETAN HASHMUKH KOTHARI


Address: 1546 Pratt Street, Philadelphia, PA 19124-1923
Phone: 2155338555

KETAN HASHMUKH KOTHARI (NPI# 1134280795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134280795
Entity Type Individual
Full Name KETAN HASHMUKH KOTHARI
Credential DPM
Practice Address 1546 Pratt Street
Philadelphia
PA 19124-1923
Practice Telephone 2155338555
Practice Fax Number 2155338656
Mailing Telephone 2155338555
Mailing Fax Number 2155338656
Enumeration Date 2006-12-13
Last Update Date 2010-07-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
SC004645L PA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
UNITED U81914 01
PA KEYSTONE MERCY 30004716 01
RAIL ROAD MEDICARE 480032950 01
PA 0018311680001 05
PA FIRST HEALTH 246839 01
PA AETNA 3075350 01
PA BLUE SHIELD K0830767 01
HEALTH PARTNERS U8914 01

Office Location

Street Address 1546 PRATT STREET
City PHILADELPHIA
State PA
Zip Code 19124-1923

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831749308 William Mark Hanna Sr. Pharmacist 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 2019-09-17
1881256451 Medical Discovery Systems, LLC Durable Medical Equipment & Medical Supplies 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 2019-07-03
1548731391 Sierra Pinkney Registered Nurse 1615 Granite St, Philadelphia, PA 19124 2018-12-05
1922507987 Xavier Sergio Henriquez Counselor 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 2018-02-06
1558881581 Isabel Cristina Castillo Hernandez Pediatrics 4500-10, Apt 201b, Philadelphia, PA 19124 2017-06-21
1952843732 Patrick Grugan Social Worker Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 2016-11-10
1811340482 Katarzyna Liwski Psychiatry & Neurology 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 2016-07-19
1851769327 Aleka Kostouros Social Worker Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 2015-09-14
1407230378 Sara Bachani Psychiatry & Neurology 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 2015-07-10
1215327051 Alyssa Renee Kirk Counselor 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 2015-02-02
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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710335476 Foot and Ankle Excellence, Inc Podiatrist 1900 Grant Ave Ste B, Philadelphia, PA 19115-4370 2016-06-02
1346628229 Muhammad Sharif Podiatrist 10900 Bustleton Ave Apt B37, Philadelphia, PA 19116-3349 2015-05-12
1841349438 Frankford Podiatry Associates, PC Podiatrist 1546 Pratt St, Philadelphia, PA 19124-1923 2007-01-10
1538173604 Kenneth James Dortone Podiatrist 2429 Brown St, Philadelphia, PA 19130-1930 2006-07-27
1528093994 Robert M Snyder Podiatrist 2666 Welsh Rd, Philadelphia, PA 19152-1548 2006-07-12
1124057054 Dpmlefkowitzprpa Podiatrist 1923 Welsh Rd, Philadelphia, PA 19115-4659 2006-07-02
1407831266 Savita P Jaggi Podiatrist 1337 Cottman Ave, Suite A, Philadelphia, PA 19111-3728 2005-12-14
1699770800 Debra Ann Schocher Podiatrist 8019 Castor Ave, Philadelphia, PA 19152-2733 2005-06-15
1265042741 Philadelphia Foot and Ankle LLC Podiatrist 7439 Frankford Ave, Philadelphia, PA 19136-3600 2020-08-09
1184051161 Dpmlandmesserprpa LLC Podiatrist 1923 Welsh Rd, Philadelphia, PA 19115-4659 2013-10-04
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Competitor

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City PHILADELPHIA
Zip Code 19124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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