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NPI Code Detail

MEDICARE: KANTA UKRANI MD

MEDICARE: KANTA UKRANI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianC1-0029359DE

General Provider Information

NPI Number : 1104576966
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANTA UKRANI MD
Provider Business Mailing Address
First Line : 1500 LANSDOWNE AVE
Second Line :
City : DARBY
State : PA
Zip : 19023-1200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 LANSDOWNE AVE
Second Line :
City : DARBY
State : PA
Zip : 19023-1200
Country : US
Telephone Number : 610-237-4684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2022
Last Update Date : 03/27/2026

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Directions to “ KANTA UKRANI MD” Practice Location

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