Athar Altaf, MD
Internal Medicine, Gastroenterology in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1447201454
StatusActive
Last updated in NPPESAug 5, 2020
Details
- NPI
- 1447201454
- Entity type
- Individual (NPI-1)
- Name
- Athar Altaf
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2006
- Certification date
- Aug 5, 2020
- Last updated
- Aug 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | MD437577 | PA | Yes |
| 207R00000X | Internal Medicine | 39759 | KY |
Practice location
675 Baltimore DrWilkes Barre, PA 18702-7900
Phone 570-808-5780 · Fax 570-808-5753
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144
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