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POONAM SRIVASTAVA M.D.
NPI 1063412757
Specialist in Selinsgrove, PA

Active since July 26, 2005
1575 N OLD TRAIL, SELINSGROVE, PA 17870(570) 374-8555(570) 374-9933 Get Directions Write a Review

NPPES record last updated: November 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Poonam Srivastava M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POONAM SRIVASTAVA M.D. (NPI 1063412757) is an individual specialist in Selinsgrove, Pennsylvania, licensed in Pennsylvania (MD039325L) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1063412757
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NamePOONAM SRIVASTAVACredential: M.D.
Location Address1575 N OLD TRAILSelinsgrove, PA 17870-9367
Mailing Address1575 N Old TrailSelinsgrove, PA 17870-9367 · (570) 374-8555 · Fax (570) 374-9933
Phone(570) 374-8555
Fax(570) 374-9933
Sole ProprietorNo
Enumeration DateJuly 26, 2005
Last NPPES UpdateNovember 12, 2010
✔ NPI 1063412757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD039325L
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1575 N OLD TRAIL, Selinsgrove, PA 17870
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Other Identifiers 3

Medicare PIN055101NKMPA
Medicare UPINE46220PA
Medicaid1007421000009PA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEISINGER MEDICAL ONCOLOGY SELINSGROVE
Internal Medicine (Medical Oncology)
1575 N OLD TRAIL
SELINSGROVE, PA 17870
Snyder County (570) 374-8555
MRS. CASSIE JO HARSHBERGER PA-C
Physician Assistant
1575 N OLD TRAIL
SELINSGROVE, PA 17870
Snyder County (570) 374-8555
POONAM SRIVASTAVA MD PC
Internal Medicine (Hematology & Oncology)
1575 N OLD TRAIL
SELINSGROVE, PA 17870
Snyder County (570) 374-8555
MAYUR A PATEL M.D.
Internal Medicine (Medical Oncology)
1575 N OLD TRAIL
SELINSGROVE, PA 17870
Snyder County (570) 374-8555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poonam Srivastava's NPI number?

The NPI number for Poonam Srivastava is 1063412757. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Poonam Srivastava located?

Poonam Srivastava practices at 1575 N Old Trail, Selinsgrove, PA 17870. The listed phone number is (570) 374-8555.

What is Poonam Srivastava's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Poonam Srivastava was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.