Provider Demographics
NPI:1841967528
Name:ANANTHARAJAH, ARRAVINTH (CGC)
Entity type:Individual
Prefix:MR
First Name:ARRAVINTH
Middle Name:
Last Name:ANANTHARAJAH
Suffix:
Gender:M
Credentials:CGC
Other - Prefix:MR
Other - First Name:AVI
Other - Middle Name:
Other - Last Name:ANANTHARAJAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CGC
Mailing Address - Street 1:3400 CIVIC CENTER BOULEVARD
Mailing Address - Street 2:SOUTH PAVILION 3RD FL
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2555
Mailing Address - Country:US
Mailing Address - Phone:215-490-2975
Mailing Address - Fax:
Practice Address - Street 1:3400 CIVIC CENTER BOULEVARD
Practice Address - Street 2:ABRAMSON CANCER CENTER, WEST PAVILION, 3RD FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:800-789-7366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS