Individual
PADMAVATHY PARTHASARATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1000
(215) 590-2180
Mailing address
3400 SPRUCE ST, 5 MALONEY, PHILADELPHIA, PA 19104-4238
(215) 662-3797
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD457544
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033390080001
—
PA
Enumeration date
04/29/2010
Last updated
05/29/2019
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