Individual
DR. KISHAN KETAN GHODASARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-8000
Mailing address
312 REGENCY DR, NORTH WALES, PA 19454-1618
(215) 237-2979
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT231734
PA
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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