Individual
LEENA VADAKETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
321 W GIRARD AVE, PHILA, PA 19123-1531
(215) 685-3808
(215) 685-3848
Mailing address
1727 JOCKEYS WAY, YARDLEY, PA 19067-3972
(215) 685-3808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35076495
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2162056
—
OH
Enumeration date
07/11/2005
Last updated
07/08/2007
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