Organization
RADIOLOGICAL ASSOC OF SUNBURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAFUL TILVA MD (DELEGATED OFFICAL PHYSICIAN)
(570) 988-0925
Entity
Organization
Contact information
Practice address
350 N 11TH ST, SUNBURY, PA 17801
(570) 988-0925
(570) 988-0919
Mailing address
PO BOX 175, NORTHUMBERLAND, PA 17857
(570) 988-0925
(570) 988-0919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010918500004
—
PA
Enumeration date
07/26/2006
Last updated
08/22/2020
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