| Jawahar Suvarnakar, Md Inc. | |
|
145 Hospital Ave Suite 105 Du Bois PA 15801-1462 | |
| (814) 371-7757 | |
| (814) 375-0414 |
| Full Name | Jawahar Suvarnakar, Md Inc. |
|---|---|
| Speciality | Internal Medicine - Adolescent Medicine |
| Location | 145 Hospital Ave, Du Bois, Pennsylvania |
| Authorized Official Name and Position | Jawahar N Suvarnakar (PRESIDENT) |
| Authorized Official Contact | 8143717757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jawahar Suvarnakar, Md Inc. 145 Hospital Ave Suite 105 Du Bois PA 15801-1462 Ph: (814) 371-7757 | Jawahar Suvarnakar, Md Inc. 145 Hospital Ave Suite 105 Du Bois PA 15801-1462 Ph: (814) 371-7757 |
| NPI Number | 1508041641 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 09/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508041641 | NPI | - | NPPES |
| 110046276 | Other | PA | TRAVELLERS RAILROAD MEDICARE |
| 0007226140003 | Medicaid | PA | |
| 0007226140001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | MD038239L (Pennsylvania) | Primary |
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