Individual
SHYAM BRAHMABHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 MARYLAND RD, SUITE 20, WILLOW GROVE, PA 19090-1700
(215) 830-8700
(215) 830-8715
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(800) 321-9999
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD418755
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
232218
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD418755
PA
Other
Enumeration date
11/16/2005
Last updated
03/20/2026
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