1881714855 NPI number — DR. PURVI PATEL MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881714855 NPI number — DR. PURVI PATEL MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

PATEL

Provider First Name:

PURVI

Provider Middle Name:

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1881714855

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

05/24/2022

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

3421 CONCORD RD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

YORK

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

17402-9001

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

717-851-5736

Provider Business Mailing Address Fax Number:

717-715-1298

Provider First Line Business Practice Location Address:

130 PINE GROVE CMNS

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

YORK

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

17403-5151

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

717-851-5736

Provider Business Practice Location Address Fax Number:

717-715-1298

Provider Enumeration Date:

03/31/2007

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207QG0300X , with the licence number:  MD433489 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 102116465 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 118475 . This is a "GEISINGER HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 50077206 . This is a "CAPITAL BLUE CROSS-WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 50081040 . This is a "CAPITAL BLUE CROSS-WMG-BIM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 273805 . This is a "UNISON-WMG YPC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: P009206 . This is a "GATEWAY-WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 237323 . This is a "UNISON-WMG CFA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 251322 . This is a "UNISON-WMG BIM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 20090400 . This is a "AMERIHEALTH MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 7564909 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 2023339 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 212416 . This is a "JOHNS HOPKINS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".