Provider Demographics
NPI:1770642845
Name:PADRELL, ELENA (MD PHD)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:PADRELL
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1514
Mailing Address - Country:US
Mailing Address - Phone:302-644-2773
Mailing Address - Fax:302-644-1737
Practice Address - Street 1:1307 SAVANNAH RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1514
Practice Address - Country:US
Practice Address - Phone:302-644-2773
Practice Address - Fax:302-644-1737
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100064722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000691902OtherDIAMOND STATE PARTNERS
206213OtherCOMPSYCH
DE510349990OtherBLUE CROSS & BLUE SHIELD
510372043OtherUNITED BEHAVIORAL HEALTH
0000691902OtherEDS
510372043OtherDELAWARE PHYSICIANS CARE
611346700OtherDEPT OF LABOR
P00283931OtherRAILROAD MEDICARE
3105416OtherALLIANCE PPO MAPSI
3105416OtherMAMSI
DE0000691902Medicaid
510372043OtherAMERIHEALTH ADMINISTRATOR
G02096OtherMEDICARE PART B
3105416OtherOPTIMUM CHOICE MAMSI
510349990OtherBLUE CROSS BLUE SHIELD
510372043OtherDELAWARE PHYSICIANS CARE
510372043OtherUNITED BEHAVIORAL HEALTH