Individual
DR. PURSHOTTAM N PATEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1214A LINE ST, STE B, SUNBURY, PA 17801-1604
(570) 286-0330
(570) 286-5302
Mailing address
1214A LINE ST, STE B, SUNBURY, PA 17801-1604
(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
01
—
0000991683
KEYSTME
—
05
—
0006789640001
—
PA
01
—
01077301
CAPITAL
—
01
—
46415
BS
—
01
—
7991683
GATEWAY
—
Enumeration date
12/14/2005
Last updated
07/08/2007
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