Provider Demographics
NPI:1629058839
Name:VADHER, ALPA M (MD)
Entity Type:Individual
Prefix:
First Name:ALPA
Middle Name:M
Last Name:VADHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:412 CREAMERY WAY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2500
Mailing Address - Country:US
Mailing Address - Phone:610-594-7590
Mailing Address - Fax:610-594-2625
Practice Address - Street 1:217 REECEVILLE RD
Practice Address - Street 2:SUITE A
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1572
Practice Address - Country:US
Practice Address - Phone:610-269-9448
Practice Address - Fax:610-594-2625
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
PAMD066812L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001755736Medicaid
PA026340Medicare ID - Type Unspecified
PA001755736Medicaid