Provider Demographics
NPI:1558359794
Name:PARCHURI, VATSALA D (MD)
Entity Type:Individual
Prefix:
First Name:VATSALA
Middle Name:D
Last Name:PARCHURI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21372
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-0198
Mailing Address - Country:US
Mailing Address - Phone:717-909-4928
Mailing Address - Fax:
Practice Address - Street 1:2731 PRIMROSE LN
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8895
Practice Address - Country:US
Practice Address - Phone:717-909-4928
Practice Address - Fax:717-564-5135
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD426414207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101635 S1QAOtherGEISINGER HEALTH PLAN
PA1545609OtherGATEWAY HEALTH PLAN
PA50049472OtherCAPITAL BLUE CROSS
PAP00224844OtherRAILROAD MEDICARE
PA1737887OtherHIGHMARK BLUE SHIELD
PA1114682OtherAETNA HMO
PA7125692OtherAETNA NON-HMO
PA121651Medicare PIN
PAP00224844OtherRAILROAD MEDICARE