Provider Demographics
NPI:1952563165
Name:BRAHMAKULAM, FRANCIS GEORGE (MD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:GEORGE
Last Name:BRAHMAKULAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 LANSDOWNE AVE
Mailing Address - Street 2:SUITE 3007
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-1330
Mailing Address - Country:US
Mailing Address - Phone:610-534-6140
Mailing Address - Fax:610-534-6144
Practice Address - Street 1:1503 LANSDOWNE AVE
Practice Address - Street 2:SUITE 3007
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1330
Practice Address - Country:US
Practice Address - Phone:610-534-6140
Practice Address - Fax:610-534-6144
Is Sole Proprietor?:No
Enumeration Date:2008-06-28
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT183301207RC0200X, 207RP1001X
PAMD432505207RS0012X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine