Individual
ARCHANA ANANTHARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 701, PHILADELPHIA, PA 19107-4414
(215) 955-6180
(215) 955-6410
Mailing address
1025 WALNUT ST, SUITE 801, PHILADELPHIA, PA 19107-5001
(215) 955-8768
(215) 955-3890
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2011
Last updated
12/21/2021
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