Healthcare Provider Details

I. General information

NPI: 1588695464
Provider Name (Legal Business Name): ARIANA R PICHARDO-LOWDEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARIANA RAQUEL PICHARDO FERMIN MD

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 02/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

IV. Provider business mailing address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-8395
  • Fax: 717-531-5726
Mailing address:
  • Phone: 717-531-8395
  • Fax: 717-531-5726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD427251
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier50096539
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerCAPITAL BLUE CROSS
# 2
Identifier101436684
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 3
Identifier1772364
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK BLUE SHIELD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: