Provider Demographics
NPI:1659378222
Name:ZAITOON, MOHAMMAD MUNIR (MD)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMAD MUNIR
Middle Name:
Last Name:ZAITOON
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 1:1027 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-1733
Mailing Address - Country:US
Mailing Address - Phone:724-547-4122
Mailing Address - Fax:724-547-4295
Practice Address - Street 1:1027 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1733
Practice Address - Country:US
Practice Address - Phone:724-547-4122
Practice Address - Fax:724-547-4295
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021960E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B35549Medicare UPIN
92898Medicare ID - Type Unspecified