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Contact Information

MANJULA BALASUBRAMANIAN, MD
245 N 15TH ST
MS 435
PHILADELPHIA, PA19102-1101
 Phone: 215-762-8873
 Fax: 215-762-3274
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MANJULA BALASUBRAMANIAN · (Female)

NPI Number 1336191683
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 12/31/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD032700E
  • PA Medicaid 001248171
Hospital affiliation(s)
  • ALBERT EINSTEIN MEDICAL CENTER - (Acute Care)
    5501 OLD YORK ROAD
    PHILADELPHIA, PA 19141
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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