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Crystal A. Gadegbeku

Internist Nephrologist

3401 N Broad St
Philadelphia , Pennsylvania 19140-5103

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Crystal A. Gadegbeku

Internist Nephrologist

3401 N Broad St
Philadelphia , Pennsylvania 19140-5103

(215) 707-4600

Write a Review Save Call

Crystal A. Gadegbeku

Internist Nephrologist

3401 N Broad St
Philadelphia , Pennsylvania 19140-5103

(215) 707-4600 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Nephrologist

Languages spoken

  • English

Location

3401 N Broad St Philadelphia , Pennsylvania 19140-5103

First Address

  • Crystal A. Gadegbeku
  • 2450 W Hunting Park Ave
  • Philadelphia, PA
  • Zip : 19129-1302
  • Phone : (215) 707-4600

Second Address

  • Crystal A. Gadegbeku
  • 3401 N Broad St
  • Philadelphia, PA
  • Zip : 19140-5103
  • Phone : (215) 707-4600

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FAQs


Where did Crystal A. Gadegbeku attend graduate school?

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Where did Crystal A. Gadegbeku do her residency?

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Where did Crystal A. Gadegbeku do her fellowship?

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Is Crystal A. Gadegbeku board certified?

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What type of doctor is Crystal A. Gadegbeku

Nephrologist

In what state does Crystal A. Gadegbeku practice in?

Pennsylvania

Where is Crystal A. Gadegbeku ’s practice located?

3401 N Broad St , Philadelphia, Pennsylvania, 19140-5103

What is Crystal A. Gadegbeku ’s gender?

Female

Is Crystal A. Gadegbeku a sole practitioner?

No

Is Crystal A. Gadegbeku accepting new patients?

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What languages does Crystal A. Gadegbeku speak?

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Does Crystal A. Gadegbeku accept insurance?

Yes, Crystal A. Gadegbeku accepts insurance

Does Crystal A. Gadegbeku offers telemedicine?

Crystal A. Gadegbeku has not indicated if she offers telemedicine

What is Crystal A. Gadegbeku ’s professional license number?

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What is Crystal A. Gadegbeku ’s NPI number?

1013099910

Does Crystal A. Gadegbeku have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist 4301081497 MI
N 111NI0900X Internist 4301081497 MI
Y 207RN0300X Nephrologist 4301081497 MI

National Provider Identifier

NPI 1013099910
Provider Name Crystal A. Gadegbeku
First Address Philadelphia, PA 19129-1302
Second Address Philadelphia, PA 19140-5103
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/10/2006
Last Update Date 24/04/2018

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
4520018 (05) MI
G50812 (02) MI

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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