Provider Demographics
NPI:1770506701
Name:FILOGRANA, KATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:
Last Name:FILOGRANA
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 1:3456 BETHLEHEM PIKE
Mailing Address - Street 2:SKY VIEW MEDICAL CENTER, 2ND FLR
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964
Mailing Address - Country:US
Mailing Address - Phone:215-723-7177
Mailing Address - Fax:215-721-8771
Practice Address - Street 1:3456 BETHLEHEM PIKE
Practice Address - Street 2:SKY VIEW MEDICAL CENTER, 2ND FLR
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964
Practice Address - Country:US
Practice Address - Phone:215-723-7177
Practice Address - Fax:215-721-8771
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD-065237-L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG99884Medicare UPIN
PA029348Medicare ID - Type Unspecified