Individual
DR. ARVIND SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 N. SHERMAN CT, HAZLETON, PA 18201
(570) 450-6333
(570) 450-6571
Mailing address
1009 FOWLER AVE, BERWICK, PA 18603-2305
(570) 759-6491
(570) 759-2440
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA10291400
NJ
208800000X
Urology Physician
MD051265L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017155610004
—
PA
05
—
001715561004
—
PA
Enumeration date
07/26/2005
Last updated
05/15/2018
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