Individual
DR. KEVIN MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, 3 RAVDIN, PHILADELPHIA, PA 19104
(215) 662-3202
(215) 349-8432
Mailing address
3400 SPRUCE ST, 3 RAVDIN, PHILADELPHIA, PA 19104-4238
(215) 662-3202
(215) 349-8432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD460510
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD460510
PA
207RP1001X
Pulmonary Disease Physician
MD460510
PA
Other
Enumeration date
03/25/2011
Last updated
09/19/2019
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