Healthcare Provider Details

I. General information

NPI: 1205288826
Provider Name (Legal Business Name): ANUPAMAA SRIVASTAVA-SINHA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANUPAMAA SRIVASTAVA

II. Dates (important events)

Enumeration Date: 07/07/2016
Last Update Date: 05/09/2022
Certification Date: 05/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 HOSPITAL DR STE 6
TYRONE PA
16686-1826
US

IV. Provider business mailing address

187 HOSPITAL DR
TYRONE PA
16686-1808
US

V. Phone/Fax

Practice location:
  • Phone: 814-684-3101
  • Fax: 814-684-5539
Mailing address:
  • Phone: 181-468-4125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD465022
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: