Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | LT000903 | PA |
NPI | 1013677939 |
---|---|
Provider Name | Dr. Shobhana Kulaparikal Parameshwaran |
First Address | Jenkintown, PA 19046-3336 |
Second Address | East Norriton, PA 19403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2021 |
Last Update Date | 20/12/2021 |