Individual
KEERTHANA SRI KESAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(267) 990-3259
Mailing address
322 N BROAD ST APT 1350, PHILADELPHIA, PA 19102-1114
(678) 469-0425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB11117100
NJ
207R00000X
Internal Medicine Physician
OT016558
PA
207RG0100X
Gastroenterology Physician
Primary
25MB11117100
NJ
207RG0100X
Gastroenterology Physician
OT016558
PA
Other
Enumeration date
05/21/2015
Last updated
04/30/2024
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