Healthcare Provider Details

I. General information

NPI: 1831581735
Provider Name (Legal Business Name): INSPPIRE LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 03/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 W SPROUL RD SUITE 101
SPRINGFIELD PA
19064-1254
US

IV. Provider business mailing address

2014 W RESERVE DR
PHILADELPHIA PA
19145-5751
US

V. Phone/Fax

Practice location:
  • Phone: 516-761-6829
  • Fax:
Mailing address:
  • Phone: 516-761-6829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD447357
License Number StatePA

VIII. Authorized Official

Name: MALATHY APPASAMY
Title or Position: DR
Credential: M.D.
Phone: 516-761-6829