Healthcare Provider Details

I. General information

NPI: 1902756430
Provider Name (Legal Business Name): SMART LOSS MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 N 21ST ST STE 211B
CAMP HILL PA
17011-3733
US

IV. Provider business mailing address

355 N 21ST ST STE 211B
CAMP HILL PA
17011-3733
US

V. Phone/Fax

Practice location:
  • Phone: 717-801-1540
  • Fax: 717-200-1279
Mailing address:
  • Phone: 717-801-1540
  • Fax: 717-200-1279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: PRATIMA BEHARI
Title or Position: OWNER
Credential: MD
Phone: 717-801-1540