Individual
DR. AMITHA PADMANABHUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 CHESTERBROOK BLVD, BERWYN, PA 19312
(610) 576-7800
Mailing address
1001 CHESTERBROOK BLVD, BERWYN, PA 19312-3805
(610) 576-7800
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD437513
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037276
MLHC MEDICARE AA #
PA
01
—
1922077643
MLHC GROUP NPI #
PA
01
—
824305
BS AA #
PA
Enumeration date
06/26/2008
Last updated
05/16/2018
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