Individual
JAY KANAPARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3322 N BROAD ST, PHILADELPHIA, PA 19140-5185
(215) 707-1800
Mailing address
1400 SPRING GARDEN ST APT 700, PHILADELPHIA, PA 19130-4409
(732) 939-5224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT223189
PA
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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