| Endocrinology Of Central Pennsylvania, Llc | |
|
2020 Good Hope Rd Ste 100 Enola PA 17025-1237 | |
| (717) 728-3636 | |
| (717) 728-3640 |
| Full Name | Endocrinology Of Central Pennsylvania, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2020 Good Hope Rd Ste 100, Enola, Pennsylvania |
| Authorized Official Name and Position | Anupam Srivastava (OWNER) |
| Authorized Official Contact | 7177283636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Of Central Pennsylvania, Llc Po Box 128 Enola PA 17025-0128 Ph: (717) 728-3636 | Endocrinology Of Central Pennsylvania, Llc 2020 Good Hope Rd Ste 100 Enola PA 17025-1237 Ph: (717) 728-3636 |
| NPI Number | 1801132469 |
|---|---|
| Provider Enumeration Date | 12/28/2012 |
| Last Update Date | 02/14/2019 |
| Medicare PECOS PAC ID | 4880848399 |
|---|---|
| Medicare Enrollment ID | O20130211000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801132469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD430149 (Pennsylvania) | Primary |
| Provider Name | Anupam Srivastava |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831114784 PECOS PAC ID: 5890785661 Enrollment ID: I20070711000635 |
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