Individual
KEVON HATAMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-5161
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
OS019750
PA
Other
Enumeration date
04/28/2017
Last updated
07/30/2020
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