Provider Demographics
NPI:1538354022
Name:KALWANI & KHADILKAR, PC
Entity type:Organization
Organization Name:KALWANI & KHADILKAR, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEMLATA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-725-3900
Mailing Address - Street 1:7924 BUSTLETON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-3321
Mailing Address - Country:US
Mailing Address - Phone:215-725-3900
Mailing Address - Fax:215-725-3273
Practice Address - Street 1:7924 BUSTLETON AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19152-3321
Practice Address - Country:US
Practice Address - Phone:215-725-3900
Practice Address - Fax:215-725-3273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-08
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037280L207R00000X
PAMD037624L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty