Mathews Tony Kadavanu, MD
Hospitalist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1124642913
StatusActive
Last updated in NPPESNov 2, 2023
Details
- NPI
- 1124642913
- Entity type
- Individual (NPI-1)
- Name
- Mathews Tony Kadavanu
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2020
- Certification date
- Nov 2, 2023
- Last updated
- Nov 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | MD482695 | PA | Yes |
Practice location
10800 Knights RdPhiladelphia, PA 19114-4200
Phone 215-612-5161
Mailing address
10800 Knights RdPhiladelphia, PA 19114-4200
Phone 215-612-5161
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