Provider Demographics
NPI:1205029816
Name:AITHAL, SRAMILA (MD)
Entity Type:Individual
Prefix:
First Name:SRAMILA
Middle Name:
Last Name:AITHAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 BRISTOL PIKE STE 100
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-6455
Mailing Address - Country:US
Mailing Address - Phone:215-645-1740
Mailing Address - Fax:855-720-6876
Practice Address - Street 1:1311 BRISTOL PIKE STE 100
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-6455
Practice Address - Country:US
Practice Address - Phone:215-645-1740
Practice Address - Fax:855-720-6876
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD434378207RX0202X
NY233827207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology