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Individual

SUKRUT PRANAV NANAVATY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 ST PAUL DR STE 201, CHAMBERSBURG, PA 17201
(717) 217-6944
(717) 217-6955
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD459365
PA
207R00000X
Internal Medicine Physician
MT200776
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD459365
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103242124
PA
01
1528314838
NPI
Enumeration date
07/24/2012
Last updated
09/08/2021
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