| Haresh & Priya Punjabi Mdpc | |
|
2250 E Allegheny Ave Philadelphia PA 19134 | |
| (215) 427-3343 | |
| (215) 427-0533 |
| Full Name | Haresh & Priya Punjabi Mdpc |
|---|---|
| Speciality | Family Medicine |
| Location | 2250 E Allegheny Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Priya H Punjabi (PARTNER) |
| Authorized Official Contact | 2154273343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haresh & Priya Punjabi Mdpc 689 Longview Dr Huntingdon Valley PA 19006-2221 Ph: (215) 427-3343 | Haresh & Priya Punjabi Mdpc 2250 E Allegheny Ave Philadelphia PA 19134 Ph: (215) 427-3343 |
| NPI Number | 1154470862 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 01/07/2019 |
| Medicare PECOS PAC ID | 4385615897 |
|---|---|
| Medicare Enrollment ID | O20040805001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154470862 | NPI | - | NPPES |
| 00839466-02 | Medicaid | PA | |
| 00839635-02 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD038932L (Pennsylvania) | Primary |
| Provider Name | Haresh Mohanlal Punjabi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316985906 PECOS PAC ID: 1254508765 Enrollment ID: I20120125000103 |
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