Provider Demographics
NPI:1497780522
Name:KALE, VASUDHA H (MD)
Entity Type:Individual
Prefix:DR
First Name:VASUDHA
Middle Name:H
Last Name:KALE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VASUDHA
Other - Middle Name:DINKAR
Other - Last Name:PATWARDHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:22 LLANFAIR RD UNIT 6
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2320
Mailing Address - Country:US
Mailing Address - Phone:610-785-6327
Mailing Address - Fax:775-242-2409
Practice Address - Street 1:3705 5TH AVE
Practice Address - Street 2:CHPMT 3950
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2584
Practice Address - Country:US
Practice Address - Phone:412-647-6575
Practice Address - Fax:412-802-8221
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD432951174400000X
CT560572085R0202X
FLMFC15772085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No174400000XOther Service ProvidersSpecialist
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2750473-00Medicaid
FLI42845Medicare UPIN
FL28710Medicare ID - Type Unspecified