institution
Basant K. Mittal, M.d. P.c.
Primary Care Clinic/Center in Shamokin Dam, Pennsylvania
NPI 1992828396

Basant K. Mittal, M.d. P.c. is a Primary Care Clinic/Center based in Shamokin Dam, PA and is specialized in Primary Care. Basant K. Mittal, M.d. P.c. practices in Shamokin Dam, PA. The NPI Number for Basant K. Mittal, M.d. P.c. is 1992828396 and holds a License No. MD-039080-L (Pennsylvania).

The current practice location address for Basant K. Mittal, M.d. P.c. is 3032 N. Susquehanna Trail, Shamokin Dam, PA and can be reached out via phone at 570-743-5020 and via fax at 570-743-4505.

Location: 3032 N. Susquehanna Trail, Shamokin Dam, PA, 17876-0429
institution
Provider Profile Details
NPI Number
1992828396
Provider Name
Basant K. Mittal, M.d. P.c.
Credential
Provider Entity Type
Organization
Address
3032 N. Susquehanna Trail, Shamokin Dam, PA, 17876-0429
Phone Number
570-743-5020
Fax Number
570-743-4505
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3032 N. Susquehanna Trail
City
State
Zip
17876-0429
Phone Number
570-743-5020
Fax Number
570-743-4505
person
Provider Business Mailing Address Details
Address
3032 N. Susquehanna Trail
City
State
Zip
17876-0429
Phone Number
570-743-5020
Fax Number
570-743-4505
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MD-039080-L (Pennsylvania)
Definition
Definition to come...
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