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Individual

KUMAR SARVOTTAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
(215) 456-4555
Mailing address
414 WATER ST APT 2707, BALTIMORE, MD 21202-3292
(507) 202-5278

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD478495
PA
207RP1001X
Pulmonary Disease Physician
MT219347
PA

Other

Enumeration date
06/20/2016
Last updated
08/08/2022
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