Provider Demographics
NPI:1467200014
Name:KAHLON, JASKIRAT SINGH (PA-C)
Entity type:Individual
Prefix:MR
First Name:JASKIRAT
Middle Name:SINGH
Last Name:KAHLON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 GOLDENEYE DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-9075
Mailing Address - Country:US
Mailing Address - Phone:610-741-9622
Mailing Address - Fax:
Practice Address - Street 1:2 GOLDENEYE DR
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19608-9075
Practice Address - Country:US
Practice Address - Phone:610-741-9622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA065515363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty