Healthcare Provider Details

I. General information

NPI: 1053691832
Provider Name (Legal Business Name): NAVITHA RAMESH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2011
Last Update Date: 08/27/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 TECHNOLOGY PKWY STE 300
MECHANICSBURG PA
17050-9423
US

IV. Provider business mailing address

1995 TECHNOLOGY PKWY
MECHANICSBURG PA
17050-8522
US

V. Phone/Fax

Practice location:
  • Phone: 717-988-5864
  • Fax: 717-221-5615
Mailing address:
  • Phone: 717-231-8772
  • Fax: 717-231-8435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD459292
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD459292
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: