Poonam Srivastava M.D.

NPI 1063412757 - Specialist - 174400000X

NPI Details
NPI 1063412757
Gender Female
Enumeration Date 07/26/2005
Last Updated 11/12/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1575 N OLD TRAIL
SELINSGROVE PA, 17870-9367, US
Phone (570) 374-8555
Fax (570) 374-9933
Business Location
1575 N OLD TRAIL
SELINSGROVE PA, 17870-9367, US
Phone (570) 374-8555
Fax (570) 374-9933
Toxanomy
Taxonomy Code 174400000X
License State Pennsylvania
License Number MD039325L
Remove 1063412757 NPI Number
 

According to our database, Poonam Srivastava M.D. NPI is 1063412757, taxonomy code is 174400000X and license number is MD039325L, license state is located at Pennsylvania. Poonam Srivastava M.D. physically located at 1575 N Old Trail, Selinsgrove PA, 17870-9367. NPI Number Poonam Srivastava M.D. has the Individual type.

Sponsored links

1063412757 NPI number is provided on an as is basis without warranty of any kind. 1063412757 is maintained by the National Plan & Provider Enumeration System. The contents of Poonam Srivastava M.D. are for informational purposes only.