| Concierge Spine And Sports Medicine, Pc | |
|
1200 Constitution Ave Philadelphia PA 19112-1329 | |
| (267) 551-4200 | |
| (856) 861-0928 |
| Full Name | Concierge Spine And Sports Medicine, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 Constitution Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Malini M Khanna (PHYSICIAN OWNER) |
| Authorized Official Contact | 2675514200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Spine And Sports Medicine, Pc 22 Madeira Ct Moorestown NJ 08057-3144 Ph: (202) 262-5629 | Concierge Spine And Sports Medicine, Pc 1200 Constitution Ave Philadelphia PA 19112-1329 Ph: (267) 551-4200 |
| NPI Number | 1831836162 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 05/17/2023 |
| Medicare PECOS PAC ID | 4284013236 |
|---|---|
| Medicare Enrollment ID | O20220622000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831836162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Malini M Khanna |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306087200 PECOS PAC ID: 3971752049 Enrollment ID: I20121004000526 |
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