Organization
P N PATEL M.D P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURSHOTTAM N. PATEL MD (PRESIDENT)
(570) 286-0330
Entity
Organization
Contact information
Practice address
1214A LINE STREET, SUITE B, SUNBURY, PA 17801
(570) 286-0330
(570) 286-5302
Mailing address
1214A LINE STREET, SUITE B, SUNBURY, PA 17801
(570) 286-0330
(570) 286-5302
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD037501L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006789640001
—
PA
05
—
0006789640004
—
PA
01
—
01077301
CAPITAL BLUE CROSS
PA
01
—
1959539
HIGHMARK BLUE SHIELD
PA
01
—
7046415
GATEWAY
PA
Enumeration date
11/16/2006
Last updated
04/03/2008
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