Provider Demographics
NPI:1255491593
Name:KALWANI, HEMLATA M (MD)
Entity Type:Individual
Prefix:
First Name:HEMLATA
Middle Name:M
Last Name:KALWANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 CENTENNIAL RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-5407
Mailing Address - Country:US
Mailing Address - Phone:215-725-3900
Mailing Address - Fax:215-725-3273
Practice Address - Street 1:7924 BUSTLETON AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19152-3321
Practice Address - Country:US
Practice Address - Phone:215-725-3900
Practice Address - Fax:215-725-3273
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037280-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0112509101OtherAMERICHOICE
PA1061776OtherKEYSTONE MERCY
PA2368074001OtherKEYSTONE HMO
PA0058523000OtherBC PERSONAL CHOICE
PA18145OtherHEALTH PARTNERS
PA1125091Medicaid
PA139161OtherAETNA
PA165392OtherHIGHMARK BLUE SHIELD
D71351Medicare UPIN
PA1125091Medicaid