Healthcare Provider Details

I. General information

NPI: 1902731540
Provider Name (Legal Business Name): NABIL UDDIN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S GEORGE ST
YORK PA
17403-3676
US

IV. Provider business mailing address

1001 S GEORGE ST
YORK PA
17403-3676
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-2311
  • Fax: 717-851-3469
Mailing address:
  • Phone: 717-851-2311
  • Fax: 717-851-3469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOT025666
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: