KANCHANA NILUPUL HERATH


Address: 1261 Division Highway, Ste 2, Philadelphia, PA 17522-8822
Phone: 7172991301

KANCHANA NILUPUL HERATH (NPI# 1093058877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093058877
Entity Type Individual
Full Name KANCHANA NILUPUL HERATH
Credential MD
Practice Address 1261 Division Highway
Ste 2
Philadelphia
PA 17522-8822
Practice Telephone 7172991301
Practice Fax Number 7172992214
Mailing Telephone 7172991301
Mailing Fax Number 7172992214
Enumeration Date 2013-03-31
Last Update Date 2018-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
MD465251 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 1261 DIVISION HIGHWAY
STE 2
City PHILADELPHIA
State PA
Zip Code 17522-8822

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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1578849162 Donald M. Friedman Internal Medicine 1802 Waverly St, Philadelphia, PA 19146-1423 2011-10-26
1992930408 Sara Dana Wasserman Internal Medicine 3737 Market St Fl 6, Philadelphia, PA 19104 2009-05-28
1053448308 Arthritis & Rheumatology Internal Medicine 245 N Broad Street, Ste 403, Philadelphia, PA 19107 2007-02-27
1023048683 Lan X Chen Internal Medicine 3910 Market St, Rheumatology 2nd Fl. Penn Presbyterian Medical Center, Philadelphia, PA 19104-3149 2006-07-03
1760431548 Bruce I Hoffman Internal Medicine 7908 Bustleton Ave, #b, Philadelphia, PA 19152 2006-05-09
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Competitor

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City PHILADELPHIA
Zip Code 17522

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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