Provider Demographics
NPI:1881440253
Name:MAHAL, SIMRAN SINGH (DPM)
Entity type:Individual
Prefix:MR
First Name:SIMRAN
Middle Name:SINGH
Last Name:MAHAL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 EAST, 82 STREET
Mailing Address - Street 2:APARTMENT C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028
Mailing Address - Country:US
Mailing Address - Phone:646-806-2676
Mailing Address - Fax:
Practice Address - Street 1:GEISINGER COMMUNITY MEDICAL CENTER, 1800 MULBERRY STREE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510
Practice Address - Country:US
Practice Address - Phone:570-703-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-26
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program