Individual
DR. KAVITA DEDHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3440
(215) 590-3986
Mailing address
100 E PENN SQ FL 9, PHILADELPHIA, PA 19107-3377
(267) 425-9538
(267) 425-9553
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
25MA10625200
NJ
207Y00000X
Otolaryngology Physician
Primary
MD466867
PA
207Y00000X
Otolaryngology Physician
MT193897
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703826
—
NJ
05
—
103664571-0001
—
PA
05
—
103664571-0002
—
PA
Enumeration date
08/13/2009
Last updated
01/15/2020
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