Individual
PANDURANGA VENKATARAMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 748-9134
(215) 748-9716
Mailing address
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-2007
(610) 567-6967
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD073312L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018489240001
—
PA
01
—
VE1307588
PABS
PA
Enumeration date
04/02/2007
Last updated
07/08/2007
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