1467446013

Everything you always wanted to know about CHANDRASOMA T PARAKRAMA M.D. but were afraid to ask.

CHANDRASOMA T PARAKRAMA M.D.

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
CHANDRASOMA T PARAKRAMA M.D.
Gender:
Male
Enumeration date:
2005-09-08
Last update date:
2011-10-05
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
00A342840 Medicaid none CA

Taxonomies

Taxonomy State License Number Primary?
207ZP0102X Anatomic Pathology & Clinical Pathology CA A34284 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 3232264600
Practice Location Address Telephone Number 3232264600
Mailing Address Fax Number 3232265927
Practice Location Address Fax Number 3232265927

Addresses

Type Address City State Postal Country
Mailing Address 405 LINDA VISTA AVE PASADENA CA 91105 CA
Practice Location Address 405 LINDA VISTA AVE PASADENA CA 91105 CA

Other NPI Records that share a phone number

NPI Name Address State City
1255611638 RAMIREZ, MYRNA
Individual
1200 NORTH STATE ST CA LOS ANGELES
1497077358 PIAO, ZHE
Individual
1100 NORTH STATE STREET CA LOS ANGELES

Other NPI Records that share an address

NPI Name Address State City
1659633493 PATHOLOGY ASSOCIATES OF ARCADI
Organization
405 LINDA VISTA AVE CA PASADENA
1730173386 PARAKRAMA T CHANDRASOMA MD A M
Organization
405 LINDA VISTA AVE CA PASADENA

Other NPI Records that share an identifier

NPI Name Address State City Identifier types that matches
1730173386 PARAKRAMA T CHANDRASOMA MD A M
Organization
405 LINDA VISTA AVE CA PASADENA Identifier: 00A342840 (Medicaid)