MEDICARE: LUDMILA KLICHINSKY PA-C

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
1	363AM0700X	Medical Physician Assistant	MA056742	PA

General Provider Information

NPI Number	:	1356766794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUDMILA KLICHINSKY PA-C

Provider Business Mailing Address
First Line	:	4190 CITY AVE STE 207
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-1627
Country	:	US
Telephone Number	:	215-871-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	4190 CITY AVE STE 207
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-1627
Country	:	US
Telephone Number	:	215-871-6100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2014
Last Update Date	:	11/26/2019

Similar Medicare Providers

1457943821 — OJASWA PRASAD DO
Practice Location Address:

4190 CITY AVE STE 100
PHILADELPHIA, PA
19131-1627

Practice Phone: 215-871-6380
Practice Fax:

1487758256 — BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.
Practice Location Address:

4190 CITY AVE STE 124
PHILADELPHIA, PA
19131-1627

Practice Phone: 215-871-7774
Practice Fax: 215-871-7766

1235690785 — SEAN SINGH DO
Practice Location Address:

4190 CITY AVE OFC
PHILADELPHIA, PA
19131-1627

Practice Phone: 800-778-4723
Practice Fax:

1144904244 — JULIANNE NICOLE SCHUSLER
Practice Location Address:

4190 CITY AVE STE 207
PHILADELPHIA, PA
19131-1627

Practice Phone: 215-871-6772
Practice Fax:

1710901244 — DR. LEONA ALICE VELICOV DPM
Practice Location Address:

3445 ST VINCENT ST
PHILADELPHIA, PA
19149-1627

Practice Phone: 215-338-2444
Practice Fax: 215-708-5000

1497836092 — ALEN MEDICAL SUPPLY INC.
Practice Location Address:

5726 RISING SUN AVE
PHILADELPHIA, PA
19120-1627

Practice Phone: 215-742-2115
Practice Fax: 215-742-3064

Directions to “ LUDMILA KLICHINSKY PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.