Provider Demographics
NPI:1770512360
Name:PATEL, ALPA PRAVINBHAI (MD)
Entity type:Individual
Prefix:DR
First Name:ALPA
Middle Name:PRAVINBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6231
Mailing Address - Fax:717-851-5978
Practice Address - Street 1:292 SAINT CHARLES WAY
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402
Practice Address - Country:US
Practice Address - Phone:717-851-6231
Practice Address - Fax:717-741-1719
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063578L207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA037979OtherJOHNS HOPKINS
PA001745364Medicaid
PA573219OtherMAMSI-WMG
PA40515OtherGEISINGER
PA434743OtherHIGHMARK BLUE SHIELD
PA7168029OtherAETNA
MD758444OtherCAREFIRST MD BCBS
PA96033OtherUNISON-WMG
PA1142772OtherAMERIHEALTH MERCY-WMG
PA01100103OtherCAPITAL BLUE CROSS-WMG
PA0072446000OtherAMERIHEALTH 65 PA
PA1519836OtherGATEWAY-WMG
PA96033OtherUNISON-WMG
PA1519836OtherGATEWAY-WMG
G88622Medicare UPIN