Provider Demographics
NPI:1801641923
Name:PARAMBATH, ANDREW (MD,MBA,MED)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:PARAMBATH
Suffix:
Gender:M
Credentials:MD,MBA,MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SMITH RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3144
Mailing Address - Country:US
Mailing Address - Phone:267-297-9144
Mailing Address - Fax:
Practice Address - Street 1:1199 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1905
Practice Address - Country:US
Practice Address - Phone:650-723-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program