Individual
DR. EVELYN OTENG-BEDIAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
036139584
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD431870
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019414760002
—
PA
01
—
AA0598
MEDICARE GROUP
NY
01
—
GU039832
MEDICARE GROUP
PA
Enumeration date
02/07/2007
Last updated
05/08/2025
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