Srivatana, Ukorn

Srivatana, Ukorn is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Srivatana, Ukorn can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-5858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 237737-1 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD068303L Pennsylvania

Profile Details

NPI number 1396710893
LBN Legal business name Srivatana, Ukorn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Feb 26th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396710893 NPPES
Pennsylvania MEDICAID 0018809680001
Pennsylvania Other CC8362
Pennsylvania Other CC9269
Pennsylvania MEDICAID 02238397
Pennsylvania Other GU039897
Pennsylvania Other 10016154
Pennsylvania Other P00318222

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