Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD037522E | PA |
Y | 111NI0900X | Internist | MD037522E | PA |
N | 207RG0300X | Geriatric Medicine | MD037522E | PA |
NPI | 1063441954 |
---|---|
Provider Name | Mr. Vinod Kumar Kataria |
First Address | West Chester, PA 19380-4416 |
Second Address | West Chester, PA 19380-4416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 30/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011180140003 | (05) | PA |
4076263 | AETNA (01) | PA |
962210 | PA BS (01) | PA |
B42334 | (02) | PA |