Individual
DR. GUNJAN KAHLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6940
Mailing address
5501 OLD YORK ROAD, KORMAN, SUOTE 202, PHILADELPHIA, PA 19141-3018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
201680
LA
207R00000X
Internal Medicine Physician
Primary
MD461960
PA
207R00000X
Internal Medicine Physician
MT185198
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103377564
—
PA
01
—
606039GH8
MEDICARE PTAN
PA
Enumeration date
07/06/2007
Last updated
11/14/2022
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