Healthcare Provider Details

I. General information

NPI: 1265698682
Provider Name (Legal Business Name): MUHAMMAD YASIR HAROON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 07/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10625 SAINT THOMAS DR
PHILADELPHIA PA
19116-3855
US

IV. Provider business mailing address

10625 SAINT THOMAS DR
PHILADELPHIA PA
19116-3855
US

V. Phone/Fax

Practice location:
  • Phone: 267-760-3958
  • Fax:
Mailing address:
  • Phone: 267-760-3958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD443162
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: