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Individual

MAHENDRA L PATIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 S JEFFERSON ST, KITTANNING, PA 16201-2416
(724) 543-2941
(724) 548-8119
Mailing address
300 S JEFFERSON ST, KITTANNING, PA 16201-2416
(724) 543-2941
(724) 543-4177

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD072281L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD072281L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001857988
PA
01
1330378
HIGHMARK
PA
Enumeration date
12/18/2006
Last updated
04/19/2016
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