Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BASANT K. MITTAL, M.D. P.C.
Active OrganizationPrimary Care Clinic · SHAMOKIN DAM, PA
Registration Details
- NPI Number
- 1992828396
- Provider Type
- Organization
- NPI Issued
- Apr 9, 2007 (19.074659083135 yrs)
- Last Updated
- Aug 22, 2020
- License
-
MD-039080-L (PA)
Practice Information
- Address
-
3032 N. SUSQUEHANNA TRAILROUTES 11 AND 15SHAMOKIN DAM, PA, 178760429Browse PA providers · Browse ZIP 17876
- Phone
- 5707435020
- Fax
- 5707434505
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.