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DILIP ELANGBAM, M.D.,LLC
NPI 1184981854
Clinic/Center - Primary Care in Muncy, PA

Active since April 18, 2012CLIA 39D2042355 · Certificate of Compliance
10 SHADY LN, SUITE 201, MUNCY, PA 17756(570) 546-2505(570) 546-2506 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dilip Elangbam, M.d.,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DILIP ELANGBAM, M.D.,LLC (NPI 1184981854) is a healthcare organization registered as a primary care in Muncy, Pennsylvania and active in the NPI registry since April 2012. The organization holds a CLIA Certificate of Compliance certificate valid through June 29, 2027 and lists Dilip K Elangbam, Doctor, as its authorized official.

NPPES Registry Identity

NPI1184981854
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDILIP ELANGBAM, M.D.,LLC
Location Address10 SHADY LN, SUITE 201Muncy, PA 17756-8807
Mailing Address10 Shady Ln, Suite 201Muncy, PA 17756-8807 · (570) 546-4100 · Fax (570) 546-4101
Phone(570) 546-2505
Fax(570) 546-2506
Organization SubpartNo
Authorized OfficialDilip K ElangbamDoctor · (570) 546-2505
Enumeration DateApril 18, 2012
Last NPPES UpdateJanuary 29, 2020
✔ NPI 1184981854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in PA · MD062088L
10 SHADY LN, Muncy, PA 17756
Open in Google Maps ↗

Other Identifiers 1

Medicaid0016491700005PA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 39D2042355

Dilip Elangbam · Muncy, PA
Active · expires Jun 29, 2027
CLIA Number39D2042355
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorDr. Dilip K. Elangbam
Laboratory Phone(570) 546-2505
Laboratory LocationDilip Elangbam10 Shady Lane, Suite 201, Muncy, PA 17756
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSQUEHANNA PHYSICIAN SERVICES
Surgery
10 SHADY LN, SUITE 201
MUNCY, PA 17756
Lycoming County (570) 546-4185
DR. SABREENA ARIF MD
Internal Medicine
10 SHADY LN, SUITE 102
MUNCY, PA 17756
Lycoming County (570) 546-4180
DR. RAJIDI M REDDY MD
Internal Medicine (Adolescent Medicine)
10 SHADY LN, SUITE101
MUNCY, PA 17756
Lycoming County (570) 546-4257
DILIP KUMAR ELANGBAM MD
Internal Medicine
10 SHADY LN, SUITE 201
MUNCY, PA 17756
Lycoming County (570) 546-2505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dilip Elangbam, M.D.,llc's NPI number?

The NPI number for Dilip Elangbam, M.D.,llc is 1184981854. It was assigned to this organization in the NPPES registry on April 18, 2012.

Where is Dilip Elangbam, M.D.,llc located?

Dilip Elangbam, M.D.,llc is located at 10 Shady Ln Suite 201, Muncy, PA 17756. The listed phone number is (570) 546-2505.

What is Dilip Elangbam, M.D.,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Dilip Elangbam, M.D.,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 39D2042355) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dilip Elangbam, M.D.,llc was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.