Individual
DR. ALI R KADKHODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 E CITY AVE, SUITE 100, BALA CYNWYD, PA 19004-1708
(610) 617-1300
(610) 617-0199
Mailing address
301 E CITY AVE, SUITE 100, BALA CYNWYD, PA 19004-1708
(610) 617-1300
(610) 617-0199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS015315
PA
Other
Enumeration date
06/01/2010
Last updated
02/06/2015
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