Individual
DR. KWASI Y KWAADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
148 N 8TH STREET, PHILADELPHIA, PA 19107-2496
(215) 625-5341
(215) 629-0716
Mailing address
148 N 8TH STREET, PHILADELPHIA, PA 19107-2496
(215) 238-6600
(215) 629-4905
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006121
PA
213EP0504X
Public Medicine Podiatrist
SC006121
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC006121
PA
213ER0200X
Radiology Podiatrist
SC006121
PA
213ES0000X
Sports Medicine Podiatrist
SC006121
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006121
PA
213ES0131X
Foot Surgery Podiatrist
SC006121
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102711775
—
PA
01
—
3884275000
IBX
PA
01
—
9152882
AETNA
PA
Enumeration date
06/30/2009
Last updated
01/13/2014
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