Individual
KIRAN JOHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107
(215) 955-8420
Mailing address
833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107-4405
(215) 955-8420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS020733
PA
2084P0800X
Psychiatry Physician
OT018291
PA
Other
Enumeration date
06/13/2018
Last updated
05/11/2023
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