Provider Demographics
NPI:1497861447
Name:ELAWAR, MUNIR Y (MD)
Entity Type:Individual
Prefix:
First Name:MUNIR
Middle Name:Y
Last Name:ELAWAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 E JEFFERSON ST STE C
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-4780
Mailing Address - Country:US
Mailing Address - Phone:724-256-5305
Mailing Address - Fax:724-315-0359
Practice Address - Street 1:480 E JEFFERSON ST STE C
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4780
Practice Address - Country:US
Practice Address - Phone:724-256-5305
Practice Address - Fax:724-315-0359
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039572L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E64207Medicare UPIN