Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Pratik Mansukh Mavani

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588922926

Dr. Pratik Mansukh Mavani is a Diagnostic Radiology in East Syracuse, New York. Qualified in 2012, 14 years ago. Practices with Crouse Radiology Associates LLP, a 108-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

5008 Brittonfield Pkwy
East Syracuse, NY 13057-9248
Phone: (315) 234-4680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 293152 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588922926
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 23, 2012
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Crouse Radiology Associates Llp — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in East Syracuse