Individual
DR. PRAMOD KUMAR MAMBALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 S CEDAR CREST BLVD, SUITE 3600, ALLENTOWN, PA 18103-6256
(610) 770-1606
Mailing address
1255 S CEDAR CREST BLVD, SUITE 3600, ALLENTOWN, PA 18103-6256
(610) 770-1606
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35825
SC
2085R0202X
Diagnostic Radiology Physician
Primary
MD449080
PA
Other
Enumeration date
10/28/2010
Last updated
11/07/2018
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