Provider Demographics
NPI:1144562307
Name:KALIAPPAN, SUMATHI (MBBS)
Entity Type:Individual
Prefix:MRS
First Name:SUMATHI
Middle Name:
Last Name:KALIAPPAN
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3627 POWELTON AVE
Mailing Address - Street 2:APT 1F
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2339
Mailing Address - Country:US
Mailing Address - Phone:215-900-5720
Mailing Address - Fax:
Practice Address - Street 1:3627 POWELTON AVE
Practice Address - Street 2:APT 1F
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-2339
Practice Address - Country:US
Practice Address - Phone:215-900-5720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program