Individual
PRANALI SANDIP KAMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-8000
Mailing address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-8000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT225330
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT225330
PA STATE BOARD GRADUATE TRAINING LICENSE
PA
Enumeration date
04/25/2022
Last updated
04/25/2022
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