Organization
DAVITA MEDICAL GROUP PHILADELPHIA, LLC
Active
Organization
DAVITA MEDICAL GROUP PHILADELPHIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J LIPP (SHAREHOLDER)
(844) 902-2345
Entity
Organization
Contact information
Practice address
2476 SWEDESFORD RD, #150, MALVERN, PA 19355-1456
(844) 902-2345
Mailing address
2476 SWEDESFORD RD, #150, MALVERN, PA 19355-1456
(844) 902-2345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
11/22/2016
Last updated
05/11/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up