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Individual
DR. PHANIRAM B SUMANAM
Active
Individual
DR. PHANIRAM B SUMANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD460341
PA
207R00000X
Internal Medicine Physician
MD460341
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2013
Last updated
09/29/2025
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