Provider Demographics
NPI:1144256306
Name:HALDIPUR, NAMRATA V (MD)
Entity type:Individual
Prefix:
First Name:NAMRATA
Middle Name:V
Last Name:HALDIPUR
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 1:3456 TRINDLE RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4468
Mailing Address - Country:US
Mailing Address - Phone:717-635-2073
Mailing Address - Fax:717-635-2074
Practice Address - Street 1:3456 TRINDLE RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4468
Practice Address - Country:US
Practice Address - Phone:717-635-2073
Practice Address - Fax:717-635-2074
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD421980207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1537551OtherGATEWAY
20067120OtherAMERIHEALTH MERCY
PA001350006OtherHIGHMARK BS
PA1009739850005Medicaid
PA50063108OtherCAPITAL BLUE CROSS
PA86101OtherGEISINGER
PA30024874OtherKEYSTONE MERCY
PA50041307OtherCAPITAL BCBS
PA157501OtherUNISON
PA1009739850005Medicaid
20067120OtherAMERIHEALTH MERCY