Individual
DR. KUNDABALA SURESH JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 N 20TH ST, HEALTH CARE CENTER #5, PHILADELPHIA, PA 19121-2217
(215) 685-2933
(215) 765-2409
Mailing address
500 S BROAD ST, SUITE 360, PHILADELPHIA, PA 19146-1613
(215) 685-6769
(215) 685-6732
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD035439L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-0851353
—
PA
Enumeration date
08/17/2006
Last updated
10/12/2016
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