Basic Information
Provider Information
NPI: 1588154520
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALHARTHI
FirstName: MAHER
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3421 CONCORD RD
Address2:  
City: YORK
State: PA
PostalCode: 174029001
CountryCode: US
TelephoneNumber: 7172638463
FaxNumber: 7172631103
Practice Location
Address1: 12 ST PAUL DR STE 104
Address2:  
City: CHAMBERSBURG
State: PA
PostalCode: 172011035
CountryCode: US
TelephoneNumber: 7172638463
FaxNumber: 7172631103
Other Information
ProviderEnumerationDate: 05/15/2018
LastUpdateDate: 06/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000XFA1462489PAN Allopathic & Osteopathic PhysiciansDermatology 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207N00000XMD476472PAY Allopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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