Provider Demographics
NPI:1356555338
Name:PATANKAR, KALPANA (MD, MAC)
Entity type:Individual
Prefix:DR
First Name:KALPANA
Middle Name:
Last Name:PATANKAR
Suffix:
Gender:F
Credentials:MD, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:842 E PHILIP DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-2639
Mailing Address - Country:US
Mailing Address - Phone:610-935-2124
Mailing Address - Fax:
Practice Address - Street 1:1288, VALLEY FORGE RD
Practice Address - Street 2:SUITE # 78
Practice Address - City:VALLEY FORGE
Practice Address - State:PA
Practice Address - Zip Code:19482-0987
Practice Address - Country:US
Practice Address - Phone:610-935-4434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPAK000026171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist