Basic Information
| Provider Information | |||||||||
| NPI: | 1932305745 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAT | ||||||||
| FirstName: | HRIDAYESH | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2500 BERNVILLE RD | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107791330 | ||||||||
| FaxNumber: | 6107797699 | ||||||||
| Practice Location | |||||||||
| Address1: | 3407 N 5TH STREET HWY | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196052428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102088800 | ||||||||
| FaxNumber: | 6108981336 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2007 | ||||||||
| LastUpdateDate: | 05/01/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD434772 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 102205369 | 05 | PA | MEDICAID |