Healthcare Provider Details

I. General information

NPI: 1891726329
Provider Name (Legal Business Name): KALIND R BAKSHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2137 WELSH RD SUITE 1-C
PHILADELPHIA PA
19115-4963
US

IV. Provider business mailing address

25 NEWBURYPORT RD
LANGHORNE PA
19053-1557
US

V. Phone/Fax

Practice location:
  • Phone: 215-969-3944
  • Fax: 215-969-3886
Mailing address:
  • Phone: 215-860-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD035679L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: