| Drs Munir & Samad | |
|
99 Baldwin Blvd Shamokin Dam PA 17876 | |
| (570) 743-7657 | |
| (570) 743-0047 |
| Full Name | Drs Munir & Samad |
|---|---|
| Speciality | Internal Medicine |
| Location | 99 Baldwin Blvd, Shamokin Dam, Pennsylvania |
| Authorized Official Name and Position | Mohammad M Munir (MEDICAL DOCTOR) |
| Authorized Official Contact | 5707437657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Munir & Samad Po Box 427 99 Baldwin Blvd Shamokin Dam PA 17876 Ph: (570) 743-7657 | Drs Munir & Samad 99 Baldwin Blvd Shamokin Dam PA 17876 Ph: (570) 743-7657 |
| NPI Number | 1891781118 |
|---|---|
| Provider Enumeration Date | 09/22/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891781118 | NPI | - | NPPES |
| 0006883990001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD034193L (Pennsylvania) | Primary |
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Basant K. Mittal, M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3032 N. Susquehanna Trail, Routes 11 And 15, Shamokin Dam, PA 17876 Phone: 570-743-5020 Fax: 570-743-4505 |