| Lehigh Valley Primary Care Pc | |
|
1259 S Cedar Crest Blvd Suite 310 Allentown PA 18103 | |
| (610) 740-5872 | |
| Not Available |
| Full Name | Lehigh Valley Primary Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1259 S Cedar Crest Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Rakesh Malhotra (PRESIDENT) |
| Authorized Official Contact | 6107405872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lehigh Valley Primary Care Pc 3026 Mosser Dr Allentown PA 18103 Ph: (610) 740-5872 | Lehigh Valley Primary Care Pc 1259 S Cedar Crest Blvd Suite 310 Allentown PA 18103 Ph: (610) 740-5872 |
| NPI Number | 1881621977 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 04/16/2012 |
| Medicare PECOS PAC ID | 2769420413 |
|---|---|
| Medicare Enrollment ID | O20050422000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881621977 | NPI | - | NPPES |
| 2371335001 | Other | PA | HIGHMARK BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD417683 (Pennsylvania) | Primary |
| Provider Name | Rakesh Malhotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073519666 PECOS PAC ID: 4385530492 Enrollment ID: I20040225000873 |
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