Provider Demographics
NPI:1003219437
Name:HALVAWALA, PRANAV (DC)
Entity Type:Individual
Prefix:DR
First Name:PRANAV
Middle Name:
Last Name:HALVAWALA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2776 KNIGHTS RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3569
Mailing Address - Country:US
Mailing Address - Phone:215-244-1800
Mailing Address - Fax:215-244-1811
Practice Address - Street 1:2776 KNIGHTS RD
Practice Address - Street 2:SUITE 1
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3569
Practice Address - Country:US
Practice Address - Phone:215-244-1800
Practice Address - Fax:215-244-1811
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-30
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010909111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor