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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIAMMA MATHEW IDICHANDY

Active

MARIAMMA MATHEW IDICHANDY is a Medical-Surgical Nurse healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1659093698 is currently active in the NPPES registry. Verify at CMS.

Medical-Surgical Nurse · PHILADELPHIA, PA

Registration Details

NPI Number
1659093698
Provider Type
Individual
Gender
Female
NPI Issued
Sep 15, 2022 (3.7674466115431 yrs)
Last Updated
Sep 15, 2022
License
210460994 (PA)

Practice Information

Address
5501 OLD YORK RD STE 1
PHILADELPHIA, PA, 191413098
Browse PA providers · Browse ZIP 19141
Phone
2154567890
Primary Specialty
Medical-Surgical Nurse
163WM0705X

Other Medical-Surgical Nurse Providers in PHILADELPHIA, PA

Name Credential NPI
KAREN CELESTINE RN 1245442961
MRS. TANISHA MEKLA NELSON RN 1669623906
MRS. SHERRAY DESIREE GOULD-MCDONALD R.N. 1811262520
MR. DOMINIC JOSEPH GATTA 1902449416
LINDSEY CORINNE MEDOIT 1508461773
JOHN K LEE 1881266245
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.