MEDICARE: PENNSYLVANIA MEDICAL PROFESSIONALS, PC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1811943905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENNSYLVANIA MEDICAL PROFESSIONALS, PC

Provider Business Mailing Address
First Line	:	33 E CHESTNUT HILL AVE
Second Line	:	SUITE 203
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-2713
Country	:	US
Telephone Number	:	215-753-9080
Fax Number	:	215-753-8830

Provider Business Practice Location Address
First Line	:	33 E CHESTNUT HILL AVE
Second Line	:	SUITE 203
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-2713
Country	:	US
Telephone Number	:	215-753-9080
Fax Number	:	215-753-8830

Authorized Official
Title or Position	:	SENIOR VP
Name	:	GARY NEWSOME
Credential	:
Telephone Number	:	215-753-9080

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1003892175 — CAROL BOWES-LAWLOR D.O.
Practice Location Address:

33 E CHESTNUT HILL AVE
PHILADELPHIA, PA
19118-2713

Practice Phone: 215-753-9080
Practice Fax: 215-753-8830

1205863115 — VERONICA GABRIEL MD
Practice Location Address:

33 E CHESTNUT HILL AVE , SUITE 201
PHILADELPHIA, PA
19118-2713

Practice Phone: 215-247-0900
Practice Fax: 215-247-7696

1245382704 — MADHAVI THUKIVAKAM REDDY MD
Practice Location Address:

33 EAST CHESTNUT AVENUE
PHILADELPHIA, PA
19118-2713

Practice Phone: 215-248-1350
Practice Fax:

1255545844 — MICHELLE NASHLEANAS MD
Practice Location Address:

33 E CHESTNUT HILL AVE
PHILADELPHIA, PA
19118-2713

Practice Phone: 215-247-0900
Practice Fax:

1376750729 — DR. PARUL BHIKHU PATEL M.D.
Practice Location Address:

33 EAST CHESTNUT HILL AVENUE
PHILADELPHIA, PA
19118-2713

Practice Phone: 215-248-1350
Practice Fax:

1073715181 — SAUM A SHAMIMI-NOORI MD
Practice Location Address:

33 E CHESTNUT HILL AVE
PHILADELPHIA, PA
19118-2713

Practice Phone: 215-248-1350
Practice Fax:

Directions to “PENNSYLVANIA MEDICAL PROFESSIONALS, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.