Provider Demographics
NPI:1275576720
Name:SARMA, AKKARAJU VN (MD)
Entity Type:Individual
Prefix:DR
First Name:AKKARAJU
Middle Name:VN
Last Name:SARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AKKARAJU
Other - Middle Name:
Other - Last Name:SARMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3324 LOCUST DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-4148
Mailing Address - Country:US
Mailing Address - Phone:215-914-0236
Mailing Address - Fax:215-914-0236
Practice Address - Street 1:5945 LANSDOWNE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-3932
Practice Address - Country:US
Practice Address - Phone:215-878-4585
Practice Address - Fax:215-878-6802
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 028975E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine