Provider Demographics
NPI:1679125942
Name:COSMOS HEALTH CARE
Entity Type:Organization
Organization Name:COSMOS HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSCIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:N
Authorized Official - Last Name:DOWLUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-946-8998
Mailing Address - Street 1:215 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-3247
Mailing Address - Country:US
Mailing Address - Phone:814-946-8998
Mailing Address - Fax:814-946-8636
Practice Address - Street 1:215 UNION AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-3247
Practice Address - Country:US
Practice Address - Phone:814-946-8998
Practice Address - Fax:814-946-8636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone