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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD465251 | PA | Allopathic & Osteopathic Physicians |
Street Address |
1261 DIVISION HIGHWAY STE 2 |
City | PHILADELPHIA |
State | PA |
Zip Code | 17522-8822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
1134778251 | Anna Thornton | Pharmacist | Ephrata Outpatient Pharmacy-wellspan, 183 N. Reading Road, Suite 9, Ephrata, PA 17522 | 2019-09-11 |
1316320898 | Shivani Bista | Obstetrics & Gynecology | 175 Martin Ave Ste 125, Ephrata, PA 17522 | 2015-07-02 |
1336583475 | Ccjp, Inc. | In Home Supportive Care | 1060 S. State Street, Suite E, Ephrata, PA 17522 | 2013-04-19 |
1548503600 | Timothy Lawrence Basom | Physical Therapist | 136 E Lake St, Ephrata, PA 17522 | 2013-03-27 |
1316228406 | Cheryl L. Stephen | Nurse Practitioner | 466 N. Reading Rd, Suite 301, Ephrata, PA 17522 | 2011-09-01 |
1174833743 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 803 Oak Boulevard, Ephrata, PA 17522 | 2010-10-18 |
1487964953 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 957 Hammon Avenue, Ephrata, PA 17522 | 2010-10-18 |
1396957148 | Carl Richard Hankel | Nurse Practitioner | 4237 Oregon Pike, Worknet Occupational Medicine, Ephrata, PA 17522 | 2007-05-04 |
1396877726 | Regional Gastroenterology Associates of Lancaster, Ltd | Clinic/Center | 4140 Oregon Pike, Ephrata, PA 17522 | 2007-03-12 |
Find all providers in zip 17522 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215570916 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 6, Philadelphia, PA 19107-1519 | 2019-10-25 |
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 |
1376518233 | David A Allan | Internal Medicine | 3910 Powelton Ave, 2nd Floor, Philadelphia, PA 19104-2692 | 2006-02-22 |
1114929585 | Oscar Horacio Irigoyen | Internal Medicine | 1015 Walnut St, Ste 613, Philadelphia, PA 19107-5005 | 2005-08-15 |
1346245073 | Michele Meltzer | Internal Medicine | 211 S 9th St, Suite 600, Philadelphia, PA 19107-6810 | 2005-06-17 |
1811470271 | Temple Faculty Practice Plan, Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-12 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 17522 |
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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.