POONAM SRIVASTAVA MD PC NPI 1467474726

NPI Information

  • NPI: 1467474726
  • Provider Name: POONAM SRIVASTAVA MD PC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 1575 N OLD TRAIL
    SELINSGROVE, PA
    ZIP 17870
  • Phone: (570) 374-8555

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NPI Details

POONAM SRIVASTAVA MD PC is a hematology and oncology internal medicine in Selinsgrove, PA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. POONAM SRIVASTAVA MD PC NPI is 1467474726. The provider is registered as an organization entity type.

The provider's business location address is:

1575 N OLD TRAIL
SELINSGROVE, PA
ZIP 17870-575
Phone: (570) 374-8555
Fax: (570) 374-9933

The provider's authorized official is Naren Srivastava .
The authorized official title is Administrator and has the following contact phone number (570) 374-8555.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 11/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryPENNSYLVANIANo
2207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10822630001MEDICARE NSCPENNSYLVANIA
21007421000005MEDICAIDPENNSYLVANIA
3031076MEDICARE PINPENNSYLVANIA
41007421000009MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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