Dravid, Vikram S

Dravid, Vikram S is an individual health care provider with primary practice located at 255 W Lancaster Ave , Paoli PA 19301-1763. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dravid, Vikram S can be contacted via phone (610) 429-0693.

Contact Information

Primary practice address
255 W Lancaster Ave Paoli PA 19301-1763
Phone: (610) 429-0693
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD041057L Pennsylvania
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD041057L Pennsylvania

Profile Details

NPI number 1376628701
LBN Legal business name Dravid, Vikram S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Oct 4th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376628701 NPPES
Pennsylvania Other 0658595000 KEYSTONE HEALTHPLAN EAST
Pennsylvania MEDICAID 0014141100005 KEYSTONE HEALTHPLAN EAST
Pennsylvania Other 020173 KEYSTONE HEALTHPLAN EAST
Pennsylvania Other 0141411002 KEYSTONE HEALTHPLAN EAST
Pennsylvania Other 3286025 KEYSTONE HEALTHPLAN EAST

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