Mboutidem Etokakpan, MD
Mboutidem Etokakpan, MD is a General Surgery in Hazle Township, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Pennsylvania.
- Years since qualifying
- 12
- Licensed in
- OH, PA
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
50 Moisey DrHazle Township, PA 18202-9297
Phone: (570) 501-6900
Fax: (570) 501-6945
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
| Surgery Physician (primary) | Taxonomy 208600000X · Licence MD469829 (PA) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 35.138339 (OH) |
Record details
| NPI number | 1467851634 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 14, 2014 |
| Last updated in NPPES | July 26, 2022 |
| Certification date | July 26, 2022 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Lehigh Valley Physician Group — 2493 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Hazle Township
-
Dr. Anthony Michael Carrato, MD
50 Moisey Dr Ste 214, Hazle Township, PA 18202-9297 · (570) 501-6900
-
Dr. Michael James Mahoney, DO
50 Moisey Dr Ste 214, Hazle Township, PA 18202-9297 · (570) 501-6900
-
Dr. Jonathan G Perry, MD
50 Moisey Dr Ste 214, Hazle Township, PA 18202-9297 · (570) 501-6900