MEDICARE: ADITI KAMDAR 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
1	208000000X	Pediatrics Physician	BP10037358	TX
2	2080P0207X	Pediatric Hematology & Oncology Physician	MT205903	PA
3	2080P0207X	Pediatric Hematology & Oncology Physician	P7477	TX

General Provider Information

NPI Number	:	1760735542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADITI KAMDAR MD

Provider Business Mailing Address
First Line	:	3401 CIVIC CENTER BLVD
Second Line	:	DIVISION OF PEDIATRIC HEMATOLOGY-ONCOLOGY
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4319
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6701 FANNIN ST STE 1510
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2613
Country	:	US
Telephone Number	:	832-824-1001
Fax Number	:

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

Provider Enumeration Date	:	10/18/2012
Last Update Date	:	10/25/2022

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Directions to “ ADITI KAMDAR MD” Practice Location

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