Individual
DR. JAWAHAR N SUVARNAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 HOSPITAL AVE, SUITE 204, DU BOIS, PA 15801-1462
(814) 371-7757
(814) 375-0414
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 371-7757
(814) 375-0414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD038239L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102548095
—
PA
01
—
110046276
TRAVELLERS RAILROAD MEDICARE
PA
Enumeration date
07/05/2006
Last updated
06/23/2011
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