Healthcare Provider Details

I. General information

NPI: 1457046492
Provider Name (Legal Business Name): NIVESH YADAV M.B.B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SOUTH WASHINGTON AVE
SCRANTON PA
18505
US

IV. Provider business mailing address

THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION 501 SOUTH WASHINGTON AVENUE
SCRANTON PA
18505
US

V. Phone/Fax

Practice location:
  • Phone: 570-591-5153
  • Fax:
Mailing address:
  • Phone: 570-591-5153
  • Fax: 570-343-4800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD2025-1282
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: