Individual
DR. PANIT HIRUNSRI SRIVATANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD068302L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019452110001
—
PA
05
—
02370318
—
NY
01
—
830008718
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039841
PA MEDICARE GROUP
PA
Enumeration date
02/20/2006
Last updated
02/27/2021
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