Kewal Krishan, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Philadelphia, PA. Individual provider (NPI-1).
NPI number1003020751
StatusActive
Last updated in NPPESMar 10, 2022
Details
- NPI
- 1003020751
- Entity type
- Individual (NPI-1)
- Name
- Kewal Krishan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2007
- Certification date
- Mar 10, 2022
- Last updated
- Mar 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD476124 | PA | Yes |
Practice location
3509 N Broad StPhiladelphia, PA 19140-4105
Phone 215-707-8484
Mailing address
3509 N Broad StPhiladelphia, PA 19140-4105
Phone 215-707-8484
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