Healthcare Provider Details

I. General information

NPI: 1700563673
Provider Name (Legal Business Name): BIBEK DHUNGANA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HIGHLAND AVE
HANOVER PA
17331-2297
US

IV. Provider business mailing address

300 HIGHLAND AVE
HANOVER PA
17331-2297
US

V. Phone/Fax

Practice location:
  • Phone: 717-316-3711
  • Fax: 717-316-3049
Mailing address:
  • Phone: 717-316-3711
  • Fax: 717-316-3049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD494688
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: