Basant K. Mittal, MD PC
Basant K. Mittal, MD PC is a Primary Care Clinic/Center in Shamokin Dam, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.
- Licensed in
- PA
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3032 N Susquehanna Trail Routes 11 And 15Shamokin Dam, PA 17876-0429
Phone: (570) 743-5020
Fax: (570) 743-4505
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence MD-039080-L (PA) |
|---|
Record details
| NPI number | 1992828396 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Basant Mittal — President · (570) 743-5020 |
| NPI enumerated | April 9, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 429, 3032 N. Susquehanna Trail-Routes 11 And 15, Shamokin Dam, PA 17876-0429 |