Individual
SHABANA KALLARAKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8105 HAWTHORNE RD, ELKINS PARK, PA 19027-2211
(267) 207-7432
(215) 501-5353
Mailing address
8105 HAWTHORNE RD, ELKINS PARK, PA 19027-2211
(267) 207-7432
(215) 501-5353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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