Individual
KEYUR MAVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 ST PAUL DR, CHAMBERSBURG, PA 17201
(717) 217-6944
(717) 303-3729
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT194786
PA
207RC0000X
Cardiovascular Disease Physician
0101258596
VA
207RC0000X
Cardiovascular Disease Physician
Primary
MD450608
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13587223
CAQH
PA
Enumeration date
08/06/2009
Last updated
09/17/2024
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