Healthcare Provider Details

I. General information

NPI: 1699939231
Provider Name (Legal Business Name): ANURADHA SILVONEK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 04/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 E CATAWISSA ST
NESQUEHONING PA
18240-1805
US

IV. Provider business mailing address

1114 E CATAWISSA ST
NESQUEHONING PA
18240-1805
US

V. Phone/Fax

Practice location:
  • Phone: 570-645-1920
  • Fax: 570-645-1925
Mailing address:
  • Phone: 570-645-1920
  • Fax: 570-645-1925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD449942
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD449942
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: