Individual
ADITYA KANESA-THASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 WALNUT ST STE 920, PHILADELPHIA, PA 19107-5109
(215) 928-3180
(215) 928-3854
Mailing address
840 WALNUT ST STE 920, PHILADELPHIA, PA 19107-5109
(215) 928-3180
(215) 928-3854
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD471131
PA
207WX0120X
Cornea and External Diseases Specialist Physician
MD471131
PA
Other
Enumeration date
02/03/2015
Last updated
07/16/2020
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