Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MBOUTIDEM ETOKAKPAN, MD
ActiveMBOUTIDEM ETOKAKPAN, MD is a General Surgery healthcare provider located in HAZLE TOWNSHIP, Pennsylvania. NPI 1467851634 is currently active in the NPPES registry. Verify at CMS.
General Surgery · HAZLE TOWNSHIP, PA
Registration Details
- NPI Number
- 1467851634
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2014 (12.02832493416 yrs)
- Last Updated
- Jul 26, 2022
- Licenses
-
35.138339 (OH)MD469829 (PA)
Practice Information
- Address
-
50 MOISEY DRHAZLE TOWNSHIP, PA, 182029297Browse PA providers · Browse ZIP 18202
- Phone
- 5705016900
- Fax
- 5705016945
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in HAZLE TOWNSHIP, PA
| Name | Credential | NPI |
|---|---|---|
| DR. ANTHONY MICHAEL CARRATO | MD | 1700812666 |
| DR. MICHAEL JAMES MAHONEY | D.O. | 1912278334 |
| DR. JONATHAN G PERRY | MD | 1427497254 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.