Individual
DR. HAMID B. MUKHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2019
(570) 214-9585
(570) 214-9519
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD421789
PA
208M00000X
Hospitalist Physician
Primary
MD421789
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008371500001
—
PA
Enumeration date
04/10/2006
Last updated
08/19/2020
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