# PARAKRAMA T CHANDRASOMA MD A MEDICAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730173386
- **Authorized official:** PARAKRAMA T CHANDRASOMA M.D. (PRESIDENT)
- **Authorized official phone:** (323) 409-4600

## Contact information

- **Practice address:** 405 LINDA VISTA AVE, PASADENA, CA 91105-1237
- **Practice address phone:** (626) 304-1055
- **Practice address fax:** (323) 441-8183
- **Mailing address:** 405 LINDA VISTA AVE, PASADENA, CA 91105-1237
- **Mailing address phone:** (626) 304-1055
- **Mailing address fax:** (323) 441-8183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 04/22/2014