Individual
PRAVESH SANGWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 INNOVATION DR, YORK, PA 17408-8815
(717) 850-4040
(717) 850-4144
Mailing address
1701 INNOVATION DR, YORK, PA 17408-8815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301112251
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301112251
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
MD471253
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103806612
—
PA
Enumeration date
05/01/2014
Last updated
05/01/2024
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