Organization
DILIP ELANGBAM, M.D.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILIP K ELANGBAM M.D. (DOCTOR)
(570) 546-2505
Entity
Organization
Contact information
Practice address
10 SHADY LN, SUITE 201, MUNCY, PA 17756-8807
(570) 546-2505
(570) 546-2506
Mailing address
10 SHADY LN, SUITE 201, MUNCY, PA 17756-8807
(570) 546-4100
(570) 546-4101
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD062088L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016491700005
—
PA
Enumeration date
04/18/2012
Last updated
01/29/2020
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