Dilip Elangbam, M.D.,Llc

LBN: Dilip Elangbam, M.D.,Llc
Dilip Elangbam, M.D.,Llc is an health care organization with primary practice located at 10 Shady Ln Suite 201, Muncy PA 17756-8807. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Dilip Elangbam, M.D.,Llc can be contacted via phone (570) 546-2505, or through Elangbam, Dilip K via phone (570) 546-2505.

Contact Information

Primary practice address
10 Shady Ln Suite 201 Muncy PA 17756-8807
Phone: (570) 546-2505
Fax: (570) 546-2506
Website:
Map and Directions
Authorized official contact:
Name: Elangbam, Dilip K Doctor of Medicine (MD)
Phone: (570) 546-2505

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MD062088L Pennsylvania

Profile Details

NPI number 1184981854
LBN Legal business name Dilip Elangbam, M.D.,Llc
DBA Doing business as
Authorized official Elangbam, Dilip K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2012
Last updated Jan 29th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184981854 NPPES
Pennsylvania MEDICAID 0016491700005

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