Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | D74524 | MD |
Y | 207Q00000X | Family Doctor | MD448718 | PA |
NPI | 1013179308 |
---|---|
Provider Name | Dr. Chalak N Muhammad |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17402-4648 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 11/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102869331 | (05) | PA |