| Dilip Elangbam, M.d.,llc | |
|
10 Shady Ln Suite 201 Muncy PA 17756-8807 | |
| (570) 546-2505 | |
| (570) 546-2506 |
| Full Name | Dilip Elangbam, M.d.,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Shady Ln, Muncy, Pennsylvania |
| Authorized Official Name and Position | Dilip K Elangbam (DOCTOR) |
| Authorized Official Contact | 5705462505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dilip Elangbam, M.d.,llc 10 Shady Ln Suite 201 Muncy PA 17756-8807 Ph: (570) 546-4100 | Dilip Elangbam, M.d.,llc 10 Shady Ln Suite 201 Muncy PA 17756-8807 Ph: (570) 546-2505 |
| NPI Number | 1184981854 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 01/29/2020 |
| Medicare PECOS PAC ID | 8820250657 |
|---|---|
| Medicare Enrollment ID | O20120424000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184981854 | NPI | - | NPPES |
| 0016491700005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD062088L (Pennsylvania) | Primary |
| Provider Name | Dilip K Elangbam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326008780 PECOS PAC ID: 8426122615 Enrollment ID: I20100310000083 |
Susquehanna Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 E Water St, Muncy, PA 17756 Phone: 570-546-4040 Fax: 570-546-4095 | |
Upmc Muncy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 E Water St, Muncy, PA 17756 Phone: 570-546-8282 Fax: 570-326-8601 |