Individual
MRS. KINNARI KALIND BAKSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7601 CASTAR AVENUE, SUITE 204, PHILADELPHIA, PA 19152
(215) 342-0440
(215) 745-3950
Mailing address
7601 CASTAR AVENUE, SUITE 204, PHILADELPHIA, PA 19152
(215) 342-0440
(215) 745-3950
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD026149E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2638693000
KEYSTONE HEALTH PLAN EAST
PA
01
—
57298
AETNA
PA
Enumeration date
08/10/2006
Last updated
07/08/2007
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