Individual
YESHWANT GOPAL PHADKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 WAYNE AVE, SUITE 106, INDIANA, PA 15701-3501
(724) 349-6677
(724) 349-6678
Mailing address
1265 WAYNE AVE, SUITE 106, INDIANA, PA 15701-3501
(724) 349-6677
(724) 349-6678
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD037054-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011030020001
—
PA
Enumeration date
01/03/2006
Last updated
10/20/2010
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