Individual
DR. RAHUL MANU KOHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3400 SPRUCE STREET, 3 SILVERSTEIN BLDG, SUITE D, PHILADELPHIA, PA 19104-4206
(215) 662-6932
Mailing address
3400 SPRUCE STREET, 3 SILVERSTEIN, SUITE D, PHILADELPHIA, PA 19104-4306
(215) 662-6932
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
D69340
MD
207RI0200X
Infectious Disease Physician
Primary
MD439361
PA
207RI0200X
Infectious Disease Physician
T1769
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023825200
—
MD
Enumeration date
01/29/2007
Last updated
11/04/2011
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