Individual
KRIPA DHOLAKIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S 48H STREET, PHILADELPHIA, PA 19143-3587
(267) 439-7629
Mailing address
900 S 48H STREET, PHILADELPHIA, PA 19143-3587
(267) 439-7629
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT012854L
PA
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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