Individual
PRAKASH VASUDEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
516 S EAGLE RD, HAVERTOWN, PA 19083-3214
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
YM014621
PA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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