Provider Demographics
NPI:1902362437
Name:DODBIBA, KRISTI (DO)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:DODBIBA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:825 OLD LANCASTER RD STE 320
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3235
Mailing Address - Country:US
Mailing Address - Phone:610-527-3800
Mailing Address - Fax:
Practice Address - Street 1:830 OLD LANCASTER RD STE 101
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3118
Practice Address - Country:US
Practice Address - Phone:610-525-8110
Practice Address - Fax:484-380-3525
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-20
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS021278207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty