IndividualActive
Ajit Mammen, M.B.B.S.
NPI 1417147646 · Pediatric Critical Care Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1417147646
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.B.B.S.
- Sex
- Male
- Sole proprietor
- No
- License
- MD432238 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
34th & Civic Center Blvd
Children'S Hospital of Philadelphia
Philadelphia, PA 19104-4399
Phone: (215) 590-1000
Fax: (215) 590-2204
Approximate (ZIP-level) locationGet directions
Mailing address
3535 Market St
Philadelphia, PA 19104-3309
Registry dates
- Enumerated
- 2007-07-25
- Last updated
- 2007-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.