Individual
DR. THIRU MANDYAM ANNASWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.A.
Contact information
Practice address
1135 OLDE W CHOCOLATE AVE STE 101, HUMMELSTOWN, PA 17036-9188
(717) 531-7010
(717) 531-7102
Mailing address
PO BOX 850, HERSHEY, PA 17033-0850
(717) 531-4263
(717) 566-8202
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
MD477514
PA
208100000X
Physical Medicine & Rehabilitation Physician
K7977
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD477514
PA
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
MD477514
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
K7977
TX
208VP0000X
Pain Medicine Physician
MD477514
PA
Other
Enumeration date
07/22/2006
Last updated
02/01/2023
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