| Bucks County Kidney Specialists, Pc | |
|
402 Middletown Blvd Ste 214 Langhorne PA 19047-1818 | |
| (215) 860-3520 | |
| (215) 750-1660 |
| Full Name | Bucks County Kidney Specialists, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 402 Middletown Blvd Ste 214, Langhorne, Pennsylvania |
| Authorized Official Name and Position | Radhika Pathalapati (OWNER) |
| Authorized Official Contact | 2158603520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bucks County Kidney Specialists, Pc 402 Middletown Blvd Ste 214 Langhorne PA 19047-1818 Ph: (215) 860-3520 | Bucks County Kidney Specialists, Pc 402 Middletown Blvd Ste 214 Langhorne PA 19047-1818 Ph: (215) 860-3520 |
| NPI Number | 1407169675 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 11/22/2017 |
| Medicare PECOS PAC ID | 8022206473 |
|---|---|
| Medicare Enrollment ID | O20101229000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407169675 | NPI | - | NPPES |
| 102510150-0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Pennsylvania) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (Pennsylvania) | Primary |
| Provider Name | Radhika Pathalapati |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154498699 PECOS PAC ID: 1850281007 Enrollment ID: I20070306000579 |
| Provider Name | Muhammad Sohaib |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679972905 PECOS PAC ID: 3476861337 Enrollment ID: I20200819001909 |
| Provider Name | Laureen Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114527058 PECOS PAC ID: 1456764976 Enrollment ID: I20201230000898 |
| Provider Name | Rupesh Khanal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578979803 PECOS PAC ID: 3476897067 Enrollment ID: I20211022000848 |
| Provider Name | Ashly Soby Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770232985 PECOS PAC ID: 4880073394 Enrollment ID: I20220701002258 |
| Provider Name | Erica Hopkins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528227527 PECOS PAC ID: 4789714866 Enrollment ID: I20221110002918 |
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