Shanmukha Reddy Kallam, DDS

NPI 1184257610 · on the registry since 2020

Practice

Address: 1575 N 52nd St Ste 705
Philadelphia, PA 19131
Phone: (215) 879-1777
Organisation at this address: Elite Dental, Llc
Brown'S Parkside, Llc
Mercy Management Of Sepa
Dedicated Pennsylvania Holding, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 33

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania