Arravinth Anantharajah, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

3400 Civic Center Boulevard
Abramson Cancer Center, West Pavilion, 3Rd Floor
Philadelphia, PA 19104

Phone

(800) 789-7366

NPI assigned

Aug 30, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Avi Anantharajah Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1841967528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BOULEVARD",
            "address_2": "SOUTH PAVILION 3RD FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042555",
            "telephone_number": "215-490-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BOULEVARD",
            "address_2": "ABRAMSON CANCER CENTER, WEST PAVILION, 3RD FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "800-789-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANTHARAJAH",
        "first_name": "ARRAVINTH",
        "name_prefix": "Mr.",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVI",
            "last_name": "ANANTHARAJAH",
            "prefix": "MR.",
            "credential": "CGC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Genetic Counselor (M.S.) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Genetic Counselor (M.S.) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.