AKHILA MOHAN RAJARAM

WILKES BARRE, PA
NPI1144649286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: GA  92375)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: PA  OS019546)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-15
Last Update Date2022-09-14
Business Address
AKHILA MOHAN RAJARAM
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702-7906
Phone number: 570-808-7916
Mailing Address
AKHILA MOHAN RAJARAM
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144