Individual
PETR PIKHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(800) 879-2467
Mailing address
512 N HOLLY ST, PHILADELPHIA, PA 19104-1769
(347) 737-8069
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
20240113880
MO
207LP3000X
Pediatric Anesthesiology Physician
Primary
MT230223
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2020
Last updated
06/19/2025
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