Km Allergy And Asthma Center, Llc | |
601 E Main St Ste 3 Lansdale PA 19446-2947 | |
(215) 361-5070 | |
(215) 412-4811 |
Full Name | Km Allergy And Asthma Center, Llc |
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Speciality | Internal Medicine |
Location | 601 E Main St Ste 3, Lansdale, Pennsylvania |
Authorized Official Name and Position | Khalil M Malik (OWNER) |
Authorized Official Contact | 2153615070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Km Allergy And Asthma Center, Llc 601 E Main St Ste 3 Lansdale PA 19446-2947 Ph: (215) 361-5070 | Km Allergy And Asthma Center, Llc 601 E Main St Ste 3 Lansdale PA 19446-2947 Ph: (215) 361-5070 |
NPI Number | 1558459107 |
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Provider Enumeration Date | 10/10/2006 |
Last Update Date | 03/24/2025 |
Medicare PECOS PAC ID | 8921273103 |
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Medicare Enrollment ID | O20111216000478 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558459107 | NPI | - | NPPES |
0010478250002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Khalil Mahmood Malik |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1699730572 PECOS PAC ID: 9830364017 Enrollment ID: I20120106000052 |
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