Individual
MANDEEP S OBEROI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 E PARK AVE., STATE COLLEGE, PA 16801-5602
(814) 231-7000
(814) 231-7022
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
62385
CT
207R00000X
Internal Medicine Physician
MA66667
NJ
207R00000X
Internal Medicine Physician
Primary
MD450634
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029169230001
—
PA
05
—
7436408
—
NJ
Enumeration date
01/12/2007
Last updated
03/20/2019
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