Organization
FRANKFORD PODIATRY ASSOCIATES, PC
Active
Organization
FRANKFORD PODIATRY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETAN H KOTHARI D.P.M. (PRESIDENT)
(215) 533-8555
Entity
Organization
Contact information
Practice address
1546 PRATT ST, PHILADELPHIA, PA 19124-1923
(215) 533-8555
(215) 533-8656
Mailing address
1546 PRATT ST, PHILADELPHIA, PA 19124-1923
(215) 533-8555
(215) 533-8656
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060837000
PA. BLUE SHIELD
PA
01
—
01530
HEALTH PARTNERS
PA
05
—
1425122
—
PA
01
—
30003475
KEYSTONE MERCY
PA
Enumeration date
01/10/2007
Last updated
11/15/2010
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