Provider Demographics
NPI:1588154520
Name:ALHARTHI, MAHER S (MD)
Entity type:Individual
Prefix:
First Name:MAHER
Middle Name:S
Last Name:ALHARTHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-263-8463
Mailing Address - Fax:717-263-1103
Practice Address - Street 1:12 ST PAUL DR STE 104
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1035
Practice Address - Country:US
Practice Address - Phone:717-263-8463
Practice Address - Fax:717-263-1103
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-15
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAFA1462489207N00000X
390200000X
PAMD476472207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program