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NPI Code Detail

MEDICARE: DR. PAVATHARANI PIRATHEEPAN MBBS

MEDICARE:  DR. PAVATHARANI  PIRATHEEPAN  MBBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician341422NY

General Provider Information

NPI Number : 1700468196
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAVATHARANI PIRATHEEPAN MBBS
Provider Business Mailing Address
First Line : 705 MAPLE RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-3291
Country : US
Telephone Number : 716-580-7355
Fax Number : 716-580-7300
Provider Business Practice Location Address
First Line : 705 MAPLE RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-3291
Country : US
Telephone Number : 716-580-7355
Fax Number : 716-580-7300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2021
Last Update Date : 02/19/2026

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Directions to “ DR. PAVATHARANI PIRATHEEPAN MBBS” Practice Location

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