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Poonam Srivastava, MD
Specialist in Selinsgrove, Pennsylvania
NPI 1063412757

Poonam Srivastava is a Specialist based in Selinsgrove, PA. Poonam Srivastava practices in Selinsgrove, PA and has the professional credentials of MD. The NPI Number for Poonam Srivastava is 1063412757 and holds a License No. MD039325L (Pennsylvania).

The current practice location address for Poonam Srivastava is 1575 N Old Trail, Selinsgrove, PA and can be reached out via phone at 570-374-8555 and via fax at 570-374-9933.

Location: 1575 N Old Trail, Selinsgrove, PA, 17870-9367
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Provider Profile Details
NPI Number
1063412757
Provider Name
Poonam Srivastava
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1575 N Old Trail, Selinsgrove, PA, 17870-9367
Phone Number
570-374-8555
Fax Number
570-374-9933
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007421000009 05 PA
institution
Provider Business Practice Location Address Details
Address
1575 N Old Trail
City
State
Zip
17870-9367
Phone Number
570-374-8555
Fax Number
570-374-9933
person
Provider Business Mailing Address Details
Address
1575 N Old Trail
City
State
Zip
17870-9367
Phone Number
570-374-8555
Fax Number
570-374-9933
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD039325L (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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