Individual
DR. KIRAN SHANKAR TALEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Mailing address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD439366
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0309354
—
NJ
05
—
102761866
—
PA
Enumeration date
08/07/2008
Last updated
01/22/2013
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