Individual
DARSHANA N JHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 6 FOUNDERS, PHILADELPHIA, PA 19104-4206
(215) 662-6503
Mailing address
3400 SPRUCE ST., PHILADELPHIA, PA 19104-4206
(215) 662-6503
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
23137
AL
207ZP0101X
Anatomic Pathology Physician
Primary
MD436178
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000060722
BLUE CROSS
AL
05
—
000060722
—
AL
01
—
010033CH48009
SECTION 1011
AL
01
—
051504210
BLUE CROSS
AL
05
—
051504210
—
AL
01
—
1595012
EMERGENCY LA MEDICAID
LA
01
—
220028520
RAILROAD MEDICARE
AL
01
—
220031282
RAILROAD MEDICARE
AL
Enumeration date
06/27/2006
Last updated
11/28/2011
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