Organization
PENN NEUROLOGY AND PSYCHIATRY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IQBAL KHAN MD (PRESIDENT)
(570) 474-6001
Entity
Organization
Contact information
Practice address
10 1/2 SOUTH MOUNTAIN BOULEVARD, MOUNTAIN TOP, PA 18707
(570) 474-6001
(886) 269-6004
Mailing address
10 1/2 SOUTH MOUNTAIN BOULEVARD, MOUNTAIN TOP, PA 18707
(570) 474-6001
(886) 269-6004
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD052377L
PA
2084N0400X
Neurology Physician
MD065153L
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011631480001
—
PA
Enumeration date
10/04/2006
Last updated
08/22/2020
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