Organization
PARAKRAMA T CHANDRASOMA MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARAKRAMA T CHANDRASOMA M.D. (PRESIDENT)
(323) 409-4600
Entity
Organization
Contact information
Practice address
405 LINDA VISTA AVE, PASADENA, CA 91105-1237
(626) 304-1055
(323) 441-8183
Mailing address
405 LINDA VISTA AVE, PASADENA, CA 91105-1237
(626) 304-1055
(323) 441-8183
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A342840
—
CA
Enumeration date
09/08/2005
Last updated
04/22/2014
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