Provider Demographics
NPI:1700836152
Name:HAROOTUNIAN, RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:HAROOTUNIAN
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-7315
Mailing Address - Fax:717-741-3056
Practice Address - Street 1:2350 FREEDOM WAY STE 150
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8200
Practice Address - Country:US
Practice Address - Phone:717-851-7315
Practice Address - Fax:717-741-3056
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD030644L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA544706OtherCAREFIRST MD BCBS
PA4407257OtherAETNA
PAP002543OtherGATEWAY WMG
PA000881512Medicaid
PA253261OtherUNISON-WMG PGAM
PAP009038OtherGATEWAY-WMG PGAM
PA032476OtherHIGHMARK
PA20090418OtherAMERIHEALTH MERCY-WMG
PA2161248OtherMAMSI-WMG
PA50081370OtherCAPITAL BLUE CROSS-WMG PGAM
PA22141OtherGEISINGER
PA233541OtherUNISON-WMG
PA123301OtherJOHNS HOPKINS
PA20080586OtherAMERIHEALTH MERCY-WMG, PGAM
PA50086660OtherCAPITAL BLUECROSS WH
PA20080586OtherAMERIHEALTH MERCY-WMG, PGAM
PA233541OtherUNISON-WMG
PA253261OtherUNISON-WMG PGAM