Provider Demographics
NPI:1982441176
Name:MAHAL, AKASHDEEP KAUR
Entity type:Individual
Prefix:
First Name:AKASHDEEP
Middle Name:KAUR
Last Name:MAHAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 SUMMIT WAY
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2680
Mailing Address - Country:US
Mailing Address - Phone:717-759-1104
Mailing Address - Fax:
Practice Address - Street 1:4004 TRINDLE RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4242
Practice Address - Country:US
Practice Address - Phone:717-737-5120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS044792122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist