Organization · Type 2 NPI
Basant K. Mittal, M.d. P.c.
Primary Care Clinic/Center · Shamokin Dam, PA
NPI number
1992828396
Active
Practice location
3032 N. Susquehanna Trail, Routes 11 And 15
Shamokin Dam, PA 17876-0429
Fax (570) 743-4505
Mailing address
PO Box 429, 3032 N. Susquehanna Trail-Routes 11 And 15
Shamokin Dam, PA 17876-0429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | MD-039080-L (PA) |
Primary Care Clinic/Center: Definition to come...
About NPI 1992828396
Basant K. Mittal, M.d. P.c.'s National Provider Identifier is 1992828396, issued on Apr 9, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Shamokin Dam, PA. The record was last updated on Aug 22, 2020.