Ota, Kaede

Ota, Kaede is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Microbiology, Allopathic & Osteopathic Physicians / Clinical Pathology. Allopathic & Osteopathic Physicians / Clinical Pathology is her primary health care specialty. Ota, Kaede can be contacted via phone (215) 707-4353.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Fax: (215) 707-2781
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Microbiology 207ZM0300X MD440444 Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X MD440444 Pennsylvania

Profile Details

NPI number 1982066361
LBN Legal business name Ota, Kaede
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2016
Last updated May 10th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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