Jatin Kyada, Md, Pc | |
5 Frame Ave Suite 204 Malvern PA 19355-1520 | |
(484) 364-2020 | |
Not Available |
Full Name | Jatin Kyada, Md, Pc |
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Speciality | Internal Medicine |
Location | 5 Frame Ave, Malvern, Pennsylvania |
Authorized Official Name and Position | Jatin Kyada (PRESIDENT) |
Authorized Official Contact | 4843642020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jatin Kyada, Md, Pc 5 Frame Ave Suite 204 Malvern PA 19355-1520 Ph: (484) 364-2020 | Jatin Kyada, Md, Pc 5 Frame Ave Suite 204 Malvern PA 19355-1520 Ph: (484) 364-2020 |
NPI Number | 1922414994 |
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Provider Enumeration Date | 07/10/2014 |
Last Update Date | 07/21/2014 |
Medicare PECOS PAC ID | 6406076447 |
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Medicare Enrollment ID | O20140925001734 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922414994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD419822 (Pennsylvania) | Primary |
Provider Name | Jatin B Kyada |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1225099559 PECOS PAC ID: 5991605727 Enrollment ID: I20040109000413 |
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