Individual
PRAMOD K TRIPATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2005 TECHNOLOGY PKWY STE 440, MECHANICSBURG, PA 17050-9413
(717) 791-2540
(717) 791-2549
Mailing address
2005 TECHNOLOGY PKWY STE 440, MECHANICSBURG, PA 17050-9413
(717) 791-2540
(717) 791-2549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD474568
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD474568
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103283539
—
PA
01
—
1Q7958
MEDICARE
PA
Enumeration date
06/06/2016
Last updated
08/29/2022
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