Provider Demographics
NPI:1609254267
Name:POUDYAL, DINESH (MD)
Entity type:Individual
Prefix:
First Name:DINESH
Middle Name:
Last Name:POUDYAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3 WALNUT STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1168
Mailing Address - Country:US
Mailing Address - Phone:717-791-2540
Mailing Address - Fax:717-791-2549
Practice Address - Street 1:3 WALNUT STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1168
Practice Address - Country:US
Practice Address - Phone:717-791-2540
Practice Address - Fax:717-791-2549
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN57752207R00000X
VA0101277657207R00000X
PAMD488468207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine