Healthcare Provider Details

I. General information

NPI: 1588154520
Provider Name (Legal Business Name): MAHER S ALHARTHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2018
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 ST PAUL DR STE 104
CHAMBERSBURG PA
17201-1035
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-263-8463
  • Fax: 717-263-1103
Mailing address:
  • Phone: 717-263-8463
  • Fax: 717-263-1103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberFA1462489
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD476472
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: