Provider Demographics
NPI:1144291485
Name:KOVATS, ENIKO (MD)
Entity type:Individual
Prefix:
First Name:ENIKO
Middle Name:
Last Name:KOVATS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ENIKO
Other - Middle Name:
Other - Last Name:ONGRADI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:101 E OLNEY AVE
Mailing Address - Street 2:400
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2470
Mailing Address - Country:US
Mailing Address - Phone:215-254-2630
Mailing Address - Fax:215-254-2599
Practice Address - Street 1:201 OLD YORK ROAD
Practice Address - Street 2:SUITE 202
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046
Practice Address - Country:US
Practice Address - Phone:267-763-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049661L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014223360007Medicaid
PA0014223360007Medicaid
0000402674Medicare ID - Type Unspecified