Organization Active NPI

Muhammad Ikram, MD LLC

  • Psychiatry Physician
  • Ashland, PA
National Provider Identifier
1205070026
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD418986 Issued in PA
Legal business name
MUHAMMAD IKRAM, MD LLC
Practice address
101 Broad St
Ashland, PA 17921-2147
Phone
(570) 875-2000
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Muhammad Ikram, MD
Title
Owner
Phone
(570) 875-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD418986 PA Primary

Addresses

Primary practice location

101 Broad St
Ashland, PA 17921-2147

Mailing address

383 Wyoming Ave
Kingston, PA 18704-3637
Phone (570) 288-8881

Other identifiers 1

IdentifierTypeStateIssuer
1477731180OtherPATYPE 1 NPI

National Provider Directory

National Provider Directory

Locations

383 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-3000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1205070026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043637",
            "telephone_number": "570-288-8881",
            "fax_number": "570-288-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROAD ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179212147",
            "telephone_number": "570-875-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHAMMAD IKRAM, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "IKRAM",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-875-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD418986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1477731180",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.