Basant K. Mittal, M.d. P.c.
NPI #1992828396 in Shamokin Dam, Pennsylvania
Provider Information
- NPI Number
- 1992828396
- Entity Type
- Organization
- Organization Name
- Basant K. Mittal, M.d. P.c.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3032 N. SUSQUEHANNA TRAIL
- Address 2
- ROUTES 11 AND 15
- City
- Shamokin Dam
- State
- Pennsylvania
- ZIP Code
- 17876-0429
- Phone
- (570) 743-5020
Authorized Official
- Name
- DR. BASANT KUMAR MITTAL, M.D.
- Title
- PRESIDENT
- Phone
- (570) 743-5020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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