Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MUTSA NYAKABAU
ActiveMUTSA NYAKABAU is a Adolescent Medicine (Pediatrics) healthcare provider located in HAGERSTOWN, Maryland. NPI 1568859437 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · HAGERSTOWN, MD
Registration Details
- NPI Number
- 1568859437
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2015 (11.350678848012 yrs)
- Last Updated
- Jun 12, 2023
- License
-
D0085119 (MD)
Practice Information
- Address
-
201 S CLEVELAND AVEHAGERSTOWN, MD, 217405745Browse MD providers · Browse ZIP 21740
- Phone
- 3017453777
- Fax
- 3013933459
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Other Adolescent Medicine (Pediatrics) Providers in HAGERSTOWN, MD
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD EDWARD KEYSER | M.D. | 1629073192 |
| LEON D WEAVER | M.D. | 1255323119 |
| RUTH A DWYER | M.D. | 1255323168 |
| DR. MARTIN DOUGLAS BECKER | M.D. | 1922064765 |
| DR. SHAFAAT ULLAH KHAN | M.D. | 1790733699 |
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.