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Individual

KEERTHI GOGINENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 615-5858
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 615-5858

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT184458
PA
207RH0000X
Hematology (Internal Medicine) Physician
MD433156
PA
207RX0202X
Medical Oncology Physician
Primary
073112
GA

Other

Enumeration date
12/18/2006
Last updated
04/22/2026
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