Individual
HETVEE BRAHMBHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 573-2588
Mailing address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 573-2588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045279
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/19/2022
Last updated
07/16/2025
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