Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRABA BOOMINATHAN, MD
Active Sole ProprietorPRABA BOOMINATHAN, MD is a Pain Medicine (Anesthesiology) healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1629456074 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1629456074
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2015 (11.278761029738 yrs)
- Last Updated
- Jun 21, 2022
- License
-
MD468544 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3400 SPRUCE STREETPHILADELPHIA, PA, 191044206Browse PA providers · Browse ZIP 19104
- Phone
- 2153498310
- Fax
- 2158937270
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
Other Pain Medicine (Anesthesiology) Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| ISSAM A MARDINI | MD | 1366439705 |
| BRUCE H LEVIN | MD | 1528056165 |
| DR. HOWARD J SCHWARTZ | D.O. | 1922084482 |
| DEEPAK MEHROTRA | MD | 1851330484 |
| DR. GREGORY H. PHARO | M.D. | 1629097571 |
| DR. DAJIE WANG | M.D. | 1285653048 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.