Provider Demographics
NPI:1396818597
Name:ARTHRITIS CENTER OF NE PA INC
Entity Type:Organization
Organization Name:ARTHRITIS CENTER OF NE PA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-824-7117
Mailing Address - Street 1:150 MUNDY STREET
Mailing Address - Street 2:MAC II BLDG
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702
Mailing Address - Country:US
Mailing Address - Phone:570-824-7117
Mailing Address - Fax:570-825-7610
Practice Address - Street 1:150 MUNDY STREET
Practice Address - Street 2:MAC II BLDG
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702
Practice Address - Country:US
Practice Address - Phone:570-824-7117
Practice Address - Fax:570-825-7610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA072902OtherFIRST PRIORITY
PA0408765000OtherINDEPENDENCE BS
PA1190732Medicaid
PA072902OtherFIRST PRIORITY