Individual
PALAK PRANAV MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522
(717) 721-4740
(717) 738-6872
Mailing address
PO BOX 1002, EPHRATA, PA 17522-1002
(717) 721-4740
(717) 738-6872
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
25MA08608800
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD443391
PA
208M00000X
Hospitalist Physician
MD443391
PA
Other
Enumeration date
05/29/2007
Last updated
03/25/2019
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