Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD463671 | PA |
N | 207QA0505X | Family Doctor - Adult Medicine | 0101258560 | VA |
N | 207QA0505X | Family Doctor - Adult Medicine | D0079958 | MD |
N | 207QA0505X | Family Doctor - Adult Medicine | MD043338 | DC |
NPI | 1265708184 |
---|---|
Provider Name | Dr. Syed Muhammad Atif |
First Address | York, PA 17402-9001 |
Second Address | Myerstown, PA 17067-3200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2012 |
Last Update Date | 23/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103493975 | (05) | PA |
13518659 | CAQH (01) |