Healthcare Provider Details

I. General information

NPI: 1982232872
Provider Name (Legal Business Name): MUSTAFA RIDVAN DONMEZ MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 MANHEIM PIKE STE 202
LANCASTER PA
17601-3127
US

IV. Provider business mailing address

1160 MANHEIM PIKE STE 202
LANCASTER PA
17601-3127
US

V. Phone/Fax

Practice location:
  • Phone: 717-791-2520
  • Fax: 717-703-0061
Mailing address:
  • Phone: 717-791-2520
  • Fax: 717-703-0061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD483157
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: