Individual
PARAKRAMA T CHANDRASOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 LINDA VISTA AVE, PASADENA, CA 91105-1237
(323) 226-4600
(323) 226-5927
Mailing address
405 LINDA VISTA AVE, PASADENA, CA 91105-1237
(323) 226-4600
(323) 226-5927
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A34284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A342840
—
CA
Enumeration date
09/08/2005
Last updated
10/05/2011
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