Individual
DR. KOSTIYA KANA PEKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 W LEHIGH AVE STE A, PHILADELPHIA, PA 19132-2664
(267) 866-7211
(267) 202-7398
Mailing address
2101 W LEHIGH AVE STE A, PHILADELPHIA, PA 19132-2664
(267) 866-7211
(267) 202-7398
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TMD005168
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277983800
—
FL
Enumeration date
08/04/2006
Last updated
09/02/2020
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