Provider Demographics
NPI:1932506565
Name:SUNDARARAMAN, VANITA LAKSHMI (PHARM-D, BCPS, BCADM)
Entity Type:Individual
Prefix:
First Name:VANITA
Middle Name:LAKSHMI
Last Name:SUNDARARAMAN
Suffix:
Gender:F
Credentials:PHARM-D, BCPS, BCADM
Other - Prefix:
Other - First Name:NONE
Other - Middle Name:NONE
Other - Last Name:NONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1972 CARRIAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-3318
Mailing Address - Country:US
Mailing Address - Phone:412-660-4883
Mailing Address - Fax:
Practice Address - Street 1:380 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2667
Practice Address - Country:US
Practice Address - Phone:740-264-8232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-25
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH034393981835P0018X
PARP4461901835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist