Individual
KRISHNALATHA SREEKRISHNANILAYAM DEVAKLIAMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 248-8200
(215) 753-2072
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD459268
PA
Other
Enumeration date
08/04/2013
Last updated
09/19/2024
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