Individual
MRS. PURVI CHAMPAK PANCHAL
Active
Individual
MRS. PURVI CHAMPAK PANCHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35090200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029693550001
—
PA
01
—
MD452505
STATE LICENSE
PA
Enumeration date
11/01/2006
Last updated
10/19/2021
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