Provider Demographics
NPI:1881714855
Name:PATEL, PURVI (MD)
Entity type:Individual
Prefix:DR
First Name:PURVI
Middle Name:
Last Name:PATEL
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 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:130 PINE GROVE CMNS
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5151
Practice Address - Country:US
Practice Address - Phone:717-851-5736
Practice Address - Fax:717-715-1298
Is Sole Proprietor?:No
Enumeration Date:2007-03-31
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433489207QG0300X, 207RH0002X
NY242803207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA212416OtherJOHNS HOPKINS
PA273805OtherUNISON-WMG YPC
PA50077206OtherCAPITAL BLUE CROSS-WMG
PA2023339OtherHIGHMARK BLUE SHIELD
PAP009206OtherGATEWAY-WMG
PA20090400OtherAMERIHEALTH MERCY
PA50081040OtherCAPITAL BLUE CROSS-WMG-BIM
PA7564909OtherAETNA
PA102116465Medicaid
PA251322OtherUNISON-WMG BIM
PA118475OtherGEISINGER HEALTH PLAN
PA237323OtherUNISON-WMG CFA
PA237323OtherUNISON-WMG CFA
PA127154FLTMedicare PIN
PAP00672859Medicare PIN