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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
SC004645L | PA | Podiatric Medicine & Surgery Service Providers |
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 |
Street Address |
1546 PRATT STREET |
City | PHILADELPHIA |
State | PA |
Zip Code | 19124-1923 |
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 |
Find all providers in zip 19124 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
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 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19124 |
Please comment or provide details below to improve the information on KETAN HASHMUKH KOTHARI.
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.