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Individual

PAVAN K IRUKULLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 969-8000
(570) 969-7421
Mailing address
404 TERRACE MNR, SCRANTON, PA 18505-2383
(570) 687-8786
(570) 969-7421

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD435885
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R1780
TX
207RP1001X
Pulmonary Disease Physician
R1780
TX

Other

Enumeration date
12/29/2008
Last updated
02/17/2026
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