Individual
DR. ALEX BARATHAN THEVENTHIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, 6TH FLOOR, PARKINSON, PHILADELPHIA, PA 19140-5103
(215) 707-3185
Mailing address
3401 N BROAD ST, 6TH FLOOR, PARKINSON, PHILADELPHIA, PA 19140-5103
(215) 707-3185
Taxonomy
Speciality
Code
Description
License number
State
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
274510
NY
Other
Enumeration date
07/27/2010
Last updated
04/24/2018
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