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Individual

DR. VINAY NAIR KAMPALATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DTMH

Contact information

Practice address
3401 CIVIC CENTER BLVD, 9NW63, PHILADELPHIA, PA 19104
(215) 590-1220
(215) 590-2768
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC EMERGENCY MEDICINE, PHILADELPHIA, PA 19104
(215) 590-1959

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD457860
PA
208000000X
Pediatrics Physician
MT205053
PA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MT205053
PA

Other

Enumeration date
06/11/2013
Last updated
11/08/2019
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