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Individual

DR. ASIF PADIYATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 425-9331

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD468915
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD468915
PA
208000000X
Pediatrics Physician
D84350
MD
2080P0202X
Pediatric Cardiology Physician
MD468915
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D84350
LICENSE
MD
Enumeration date
07/07/2011
Last updated
12/30/2022
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