1316177231 NPI number — M. MUNIR ZAITOON, M.D., F.A.C.S.

Table of content: (NPI 1316177231)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316177231 NPI number — M. MUNIR ZAITOON, M.D., F.A.C.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
M. MUNIR ZAITOON, M.D., F.A.C.S.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316177231
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/27/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1027 W MAIN ST
Provider Second Line Business Mailing Address:
MAIN STREET MEDICAL BUILDING
Provider Business Mailing Address City Name:
MT PLEASANT
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15666-1785
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-547-4122
Provider Business Mailing Address Fax Number:
724-547-4295

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1027 W MAIN ST
Provider Second Line Business Practice Location Address:
MAIN STREET MEDICAL BUILDING
Provider Business Practice Location Address City Name:
MT PLEASANT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15666-1785
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-547-4122
Provider Business Practice Location Address Fax Number:
724-547-4295
Provider Enumeration Date:
07/27/2009

Additional Information

Authorized Official

Authorized Official Last Name:
ZAITOON
Authorized Official First Name:
MOHAMMAD
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
MEDICAL PHYSICIAN/SURGEON
Authorized Official Telephone Number:
724-547-4122

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  024070 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0071753210002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com