Healthcare Provider Details

I. General information

NPI: 1316228869
Provider Name (Legal Business Name): NAVNEET SINGH DANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: NAVNEET SINGH DANG M.D.

II. Dates (important events)

Enumeration Date: 08/29/2011
Last Update Date: 09/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MULBERRY ST.
SCRANTON PA
18510-6889
US

IV. Provider business mailing address

100 NORTH ACADEMY AVE.
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-703-7351
  • Fax: 570-703-7801
Mailing address:
  • Phone: 570-271-6144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number36130583
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD458424
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1316228869
Identifier TypeOTHER
Identifier StateIL
Identifier IssuerNPI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: