Organization Active NPI

Health and Beauty Medical, PC

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1720138928
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS012725 Issued in PA
Legal business name
HEALTH AND BEAUTY MEDICAL, PC
Practice address
9708 Bustleton Ave
Philadelphia, PA 19115-3106
Phone
(215) 676-0919
Fax
(215) 676-0939
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Svetlana Khandros, MD, DO
Title
Osteopatic Medical Doctor
Phone
(215) 676-0919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OS012725 PA Primary

Addresses

Primary practice location

9708 Bustleton Ave
Philadelphia, PA 19115-3106

Mailing address

9708 Bustleton Ave
Philadelphia, PA 19115-3106
Phone (215) 676-0919

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720138928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153106",
            "telephone_number": "215-676-0919",
            "fax_number": "215-676-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153106",
            "telephone_number": "215-676-0919",
            "fax_number": "215-676-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND BEAUTY MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHANDROS",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OSTEOPATIC MEDICAL DOCTOR",
        "authorized_official_telephone_number": "215-676-0919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.