Provider Demographics
NPI:1447825443
Name:VIRK, HAMZA
Entity type:Individual
Prefix:
First Name:HAMZA
Middle Name:
Last Name:VIRK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GRADUATE MEDICAL EDUCATION GUTHRIE/ROBERT PACKER HOSPIT
Mailing Address - Street 2:ONE GUTHRIE SQUARE
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 GUTHRIE DR
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-3696
Practice Address - Country:US
Practice Address - Phone:607-937-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2025-02-18
Deactivation Date:2022-11-14
Deactivation Code:
Reactivation Date:2022-12-02
Provider Licenses
StateLicense IDTaxonomies
NY331418207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine