Individual
MRS. SUCHARITHA SHANMUGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
824 MAIN ST STE 100, PHOENIXVILLE, PA 19460-4478
(610) 933-8000
(610) 917-0320
Mailing address
PO BOX 525, PHOENIXVILLE, PA 19460-0525
(610) 933-8000
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD426764
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT178938
PA
Other
Enumeration date
05/15/2007
Last updated
08/26/2008
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