Individual
MOHAMMAD ALSHELLEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-3816
(570) 271-6439
(570) 271-6852
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53664
CT
207RG0100X
Gastroenterology Physician
Primary
MD477971
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
298175
NY LICENSE NUMBER
NY
Enumeration date
12/28/2011
Last updated
07/26/2022
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