BASANT K. MITTAL, M.D. P.C.
NPI 1992828396
Clinic/Center - Primary Care in Shamokin Dam, PA

Active since April 09, 2007
3032 N. SUSQUEHANNA TRAIL, ROUTES 11 AND 15, SHAMOKIN DAM, PA 17876(570) 743-5020(570) 743-4505 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Basant K. Mittal, M.d. P.c. NPPES

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

BASANT K. MITTAL, M.D. P.C. (NPI 1992828396) is a healthcare organization registered as a primary care in Shamokin Dam, Pennsylvania and active in the NPI registry since April 2007. The organization lists Basant Kumar Mittal, President, as its authorized official.

NPPES Registry Identity

NPI1992828396
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBASANT K. MITTAL, M.D. P.C.
Location Address3032 N. SUSQUEHANNA TRAIL, ROUTES 11 AND 15Shamokin Dam, PA 17876-0429
Mailing AddressPo Box 429, 3032 N. Susquehanna Trail-routes 11 And 15Shamokin Dam, PA 17876-0429 · (570) 743-5020 · Fax (570) 743-4505
Fax(570) 743-4505
Organization SubpartNo
Authorized OfficialBasant Kumar MittalPresident · (570) 743-5020
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1992828396 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 · MD-039080-L
3032 N. SUSQUEHANNA TRAIL, Shamokin Dam, PA 17876

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 Basant K. Mittal, M.D. P.C.'s NPI number?

The NPI number for Basant K. Mittal, M.D. P.C. is 1992828396. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Basant K. Mittal, M.D. P.C. located?

Basant K. Mittal, M.D. P.C. is located at 3032 N. Susquehanna Trail Routes 11 And 15, Shamokin Dam, PA 17876. The listed phone number is (570) 743-5020.

What is Basant K. Mittal, M.D. P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Basant K. Mittal, M.D. P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.