| Penn Neurology And Psychiatry Associates, Pc | |
|
10 1/2 South Mountain Boulevard Mountain Top PA 18707 | |
| (570) 474-6001 | |
| (886) 269-6004 |
| Full Name | Penn Neurology And Psychiatry Associates, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 10 1/2 South Mountain Boulevard, Mountain Top, Pennsylvania |
| Authorized Official Name and Position | Iqbal Khan (PRESIDENT) |
| Authorized Official Contact | 5704746001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Neurology And Psychiatry Associates, Pc 10 1/2 South Mountain Boulevard Mountain Top PA 18707 Ph: (570) 474-6001 | Penn Neurology And Psychiatry Associates, Pc 10 1/2 South Mountain Boulevard Mountain Top PA 18707 Ph: (570) 474-6001 |
| NPI Number | 1467547208 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467547208 | NPI | - | NPPES |
| 1011631480001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD065153L (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | MD052377L (Pennsylvania) | Primary |
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