Individual
KANCHANA NILUPUL HERATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1261 DIVISION HIGHWAY, STE 2, PHILADELPHIA, PA 17522-8822
(717) 299-1301
(717) 299-2214
Mailing address
1261 DIVISION HIGHWAY, STE 2, PHILADELPHIA, PA 17522-8822
(717) 299-1301
(717) 299-2214
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD465251
PA
Other
Enumeration date
03/31/2013
Last updated
09/24/2018
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