Individual
DR. UKORN SRIVATANA
Active
Individual
DR. UKORN SRIVATANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
237737-1
NY
207RG0100X
Gastroenterology Physician
Primary
MD068303L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018809680001
—
PA
05
—
02238397
—
NY
01
—
10016154
RR MEDICARE GROUP
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039897
PA MEDICARE GROUP
PA
01
—
P00318222
RAILROAD PIN
NY
Enumeration date
02/20/2006
Last updated
02/26/2021
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