Organization
JAWAHAR SUVARNAKAR, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAWAHAR N SUVARNAKAR M.D. (PRESIDENT)
(814) 371-7757
Entity
Organization
Contact information
Practice address
145 HOSPITAL AVE, SUITE 105, DU BOIS, PA 15801-1462
(814) 371-7757
(814) 375-0414
Mailing address
145 HOSPITAL AVE, SUITE 105, DU BOIS, PA 15801-1462
(814) 371-7757
(814) 375-0414
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
MD038239L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007226140001
—
PA
05
—
0007226140003
—
PA
01
—
110046276
TRAVELLERS RAILROAD MEDICARE
PA
Enumeration date
01/08/2008
Last updated
09/18/2008
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