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NPI Code Detail

MEDICARE: DR. EBONDO MPINGA MD

MEDICARE:  DR. EBONDO  MPINGA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianMD423172PA
22086S0102XSurgical Critical Care PhysicianMD423172PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2611550OTHERMDCAREFIRST MD BCBS
320030444OTHERPAAMERIHEALTH MERCY-WMG
4147491OTHERPAUNISON-WMG
51536272OTHERPAGATEWAY-WMG
61542793OTHERPAHIGHMARK BLUE SHIELD
72118573OTHERPAMAMSI-WMG
890900OTHERPAGEISINGER
97172196OTHERPAAETNA
102226915000OTHERPAAMERIHEALTH 65 PA
11031120OTHERPAJOHNS HOPKINS
1250022713OTHERPACAPITAL BLUE CROSS-WMG

General Provider Information

NPI Number : 1851320493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EBONDO MPINGA MD
Provider Business Mailing Address
First Line : 1803 MOUNT ROSE AVE
Second Line : SUITE B3
City : YORK
State : PA
Zip : 17403-3026
Country : US
Telephone Number : 717-851-1405
Fax Number : 717-851-6969
Provider Business Practice Location Address
First Line : 300 PINE GROVE CMNS
Second Line :
City : YORK
State : PA
Zip : 17403-5176
Country : US
Telephone Number : 717-851-6110
Fax Number : 717-741-1076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 07/21/2022

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Directions to “ DR. EBONDO MPINGA MD” Practice Location

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