Individual
SITA PAUDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8790
(717) 531-0245
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
3619F
AL
208000000X
Pediatrics Physician
9387
SD
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
MD468617
PA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD468617
PA
390200000X
Student in an Organized Health Care Education/Training Program
0100
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036682760001
—
PA
05
—
138438
—
AL
05
—
138886
—
AL
Enumeration date
02/15/2012
Last updated
10/16/2019
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