BASANT K. MITTAL, M.D. P.C

NPI: 1992828396 · Organization · Active

Primary Specialty

Primary Care Clinic/Center
Clinic/Center — Primary Care

Practice Location

3032 N. SUSQUEHANNA TRAIL
ROUTES 11 AND 15
SHAMOKIN DAM, PA 17876-0429 Map ↗
Phone: 570-743-5020
Fax: 570-743-4505

Mailing Address

PO BOX 429
3032 N. SUSQUEHANNA TRAIL-ROUTES 11 AND 15
SHAMOKIN DAM, PA 17876-0429 Map ↗
Phone: 570-743-5020
Fax: 570-743-4505

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Primary Care Clinic/Center Primary — Primary Care (license: MD-039080-L, PA)

NPI Registration

Enumerated: 2007-04-09

Last CMS Update: 2020-08-22