Individual
ANUPAMA JAYACHANDRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3405
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
236365
PA
208600000X
Surgery Physician
Primary
MT236365
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
05/06/2026
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