Most Relevant Information
Provider Data
| NPI Number: | 1003494451 |
| Provider Name: | ARCHANA ANANDAKRISHNAN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 2080P0206X |
| Specialty: | Pediatrics |
| License Number: | OT023212 |
Most Important Dates
| Enumeration Date: | 03/29/2021 |
| Last Updated: | 06/03/2024 |
Provider Practice Location
3401 CIVIC CENTER BLVD
DIVISION OF PEDIATRIC GASTROENTEROLOGY
PHILADELPHIA
PA
19104
Practice Location Phone/Fax
| Phone: | 2674252739 |
| Fax: |
Provider Mailing Location
3401 CIVIC CENTER BLVD
DIVISION OF PEDIATRIC GASTROENTEROLOGY
PHILADELPHIA
PA
19104
Provider Mailing Phone/Fax
| Phone: | 2674252739 |
| Fax: |