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NPI Code Detail

MEDICARE: SMRITHI PREM MD, PHD

MEDICARE: SMRITHI PREM MD, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMD481595PA

General Provider Information

NPI Number : 1427635986
Entity Type Code : Individual
Provider Name (Legal Business Name) : SMRITHI PREM MD, PHD
Provider Business Mailing Address
First Line : 3535 MARKET ST FL 2
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-3317
Country : US
Telephone Number : 215-746-7222
Fax Number : 949-238-6991
Provider Business Practice Location Address
First Line : 3535 MARKET ST FL 2
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-3317
Country : US
Telephone Number : 215-746-7222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2021
Last Update Date : 03/24/2026

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Directions to “ SMRITHI PREM MD, PHD” Practice Location

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