MEDICARE: PADMINI HARIGOPAL M.D

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
1	207R00000X	Internal Medicine Physician	MD453709	PA

General Provider Information

NPI Number	:	1710954599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PADMINI HARIGOPAL M.D

Provider Business Mailing Address
First Line	:	4883 W CHESTER PIKE
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2213
Country	:	US
Telephone Number	:	610-383-0239
Fax Number	:	610-380-4310

Provider Business Practice Location Address
First Line	:	4883 W CHESTER PIKE
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2213
Country	:	US
Telephone Number	:	610-383-0239
Fax Number	:	610-380-4310

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	02/05/2026

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