Provider Demographics
NPI:1659066983
Name:K&H MEDICAL PHIL PLLC
Entity Type:Organization
Organization Name:K&H MEDICAL PHIL PLLC
Other - Org Name:MOBILE VASCULAR PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DELEGATED OFFICIAL/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIEZER
Authorized Official - Middle Name:
Authorized Official - Last Name:HALPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-717-1839
Mailing Address - Street 1:120 HICKSVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-3443
Mailing Address - Country:US
Mailing Address - Phone:516-717-1839
Mailing Address - Fax:516-614-1028
Practice Address - Street 1:235 NORTH BROAD STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1531
Practice Address - Country:US
Practice Address - Phone:215-568-6822
Practice Address - Fax:215-568-6833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty