Individual provider · NPI-1

Kavya Ajbani

Podiatrist, Foot & Ankle Surgery · Philadelphia, PA

NPI number1437992955
StatusActive
Last updated in NPPESJun 19, 2024

Details

NPI
1437992955
Entity type
Individual (NPI-1)
Name
Kavya Ajbani
Sex
Female
Sole proprietor
No
Enumeration date
Jun 13, 2024
Certification date
Jun 19, 2024
Last updated
Jun 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgerySC007457PAYes

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Phone 800-836-7536

Mailing address

1602 W Diamond St
Philadelphia, PA 19121-2313

Phone 334-492-1933

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