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NPI Code Detail

MEDICARE: DR. LUIS L. NADAL M.D.

MEDICARE: DR. LUIS L. NADAL 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
12085R0204XVascular & Interventional Radiology Physician0101268980VA
22085R0204XVascular & Interventional Radiology PhysicianMD425730PA
32085R0202XDiagnostic Radiology Physician2026-00206NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720041510
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUIS L. NADAL M.D.
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-3034
Country : US
Telephone Number : 570-271-6144
Fax Number : 570-271-6578
Provider Business Practice Location Address
First Line : 500 UNIVERSITY DR
Second Line :
City : HERSHEY
State : PA
Zip : 17033-2360
Country : US
Telephone Number : 800-243-1455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 06/03/2026

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Directions to “ DR. LUIS L. NADAL M.D.” Practice Location

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