Individual
SHINY PARAMBATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(610) 323-6835
Mailing address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP013264
PA
Other
Enumeration date
11/19/2013
Last updated
11/30/2021
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