Provider Demographics
NPI:1437112554
Name:SOLANET, PEDRO M (MD)
Entity type:Individual
Prefix:
First Name:PEDRO
Middle Name:M
Last Name:SOLANET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 W CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-2218
Mailing Address - Country:US
Mailing Address - Phone:610-444-8233
Mailing Address - Fax:
Practice Address - Street 1:830 W CYPRESS ST
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-2218
Practice Address - Country:US
Practice Address - Phone:610-444-8233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD055788L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001543630006Medicaid
PA790636Medicare PIN
G26613Medicare UPIN