Provider Demographics
NPI:1902006455
Name:MURUDKAR, PREETI MEGHNATH (MD)
Entity Type:Individual
Prefix:DR
First Name:PREETI
Middle Name:MEGHNATH
Last Name:MURUDKAR
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 1:1550 RODNEY ROAD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408
Mailing Address - Country:US
Mailing Address - Phone:717-846-8791
Mailing Address - Fax:717-845-1093
Practice Address - Street 1:1550 RODNEY ROAD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408
Practice Address - Country:US
Practice Address - Phone:717-846-8791
Practice Address - Fax:717-845-1093
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD432207207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1020356160001Medicaid
PA116142HOZMedicare PIN
PA48597Medicare PIN