Individual
DR. SHAKUNTALA Y VARHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 MEDICAL PARK DR, LEWISBURG, PA 17837-6343
(570) 523-3264
(570) 523-3465
Mailing address
55 MEDICAL PARK DR, LEWISBURG, PA 17837-6343
(570) 523-3264
(570) 523-3465
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD060736L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016338870007
—
PA
Enumeration date
07/23/2006
Last updated
11/10/2011
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