1275506602 NPI number — HARKIRAT S GHUMAN MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275506602 NPI number — HARKIRAT S GHUMAN MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

GHUMAN

Provider First Name:

HARKIRAT

Provider Middle Name:

S

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

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:

1275506602

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

04/20/2022

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

3421 CONCORD RD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

YORK

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

17402-9001

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

717-851-4005

Provider Business Mailing Address Fax Number:

717-812-2495

Provider First Line Business Practice Location Address:

1001 SOUTH GEORGE ST

Provider Second Line Business Practice Location Address:

FLOOR 3

Provider Business Practice Location Address City Name:

YORK

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

17403-3676

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

717-851-4005

Provider Business Practice Location Address Fax Number:

717-812-2495

Provider Enumeration Date:

02/08/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 208M00000X , with the licence number:  MD446716 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 207R00000X , with the licence number: MD446716 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 30140706 . This is a "AMERIHEALTH MERCY - THFPC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 102762550 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 058835100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
• Identifier: 1570985 . This is a "GATEWAY - WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 001435734 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
• Identifier: 2745342 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: P00329259 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: P010989 . This is a "GATEWAY - THFP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 30140711 . This is a "AMERIHEALTH MERCY - WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 418883 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".