Healthcare Provider Details

I. General information

NPI: 1124705215
Provider Name (Legal Business Name): BIBEK TIMILSINA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUTHRIE SQ
SAYRE PA
18840-1625
US

IV. Provider business mailing address

33 BEVERLY LN
SAYRE PA
18840-1617
US

V. Phone/Fax

Practice location:
  • Phone: 570-887-3818
  • Fax: 856-536-8550
Mailing address:
  • Phone: 570-887-3818
  • Fax: 856-536-8550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: