Boominathan, Praba
Boominathan, Praba is an sole proprietor health care provider with primary practice located at 3400 Spruce Street , Philadelphia PA 19104-4206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Boominathan, Praba can be contacted via phone (215) 349-8310.Contact Information
Primary practice address
3400 Spruce Street
Philadelphia PA 19104-4206
Phone: (215) 349-8310
Fax: (215) 893-7270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD468544 | Pennsylvania |
Profile Details
| NPI number | 1629456074 |
|---|---|
| LBN Legal business name | Boominathan, Praba |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2015 |
| Last updated | Jun 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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