| Organization Name: | K.M. PHANSE, M.D. |
| NPI Number: | 1205965316 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KALYANI M PHANSE (PHYSICIAN) |
| Mailing Address: | 4000 Waterdam Plaza Dr Suite 280 Mcmurray |
| State: | PA US |
| Postal Code: | 153172494 |
| Phone Number: | 7249411100 |
| Fax Number: | 7249410190 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | MD034854L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |