Individual
DR. PHANIRAM B SUMANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-6000
Mailing address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD460341
PA
207R00000X
Internal Medicine Physician
MD460341
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2013
Last updated
09/29/2025
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