UKORN SRIVATANA MD

GUTHRIE MEDICAL GROUP PC

Dr UKORN SRIVATANA MD is a male medical professional, specializing in Gastroenterology. He graduated in 1987.

Contact

GUTHRIE MEDICAL GROUP PC

3 TIOGA BLVD
APALACHIN
NY
137324150

Tel: 6076252136

UKORN SRIVATANA MD Information

Npi 1396710893
Pac Id 2567482060
Professional Enrollment Id I20051129000769
Last Name SRIVATANA
First Name UKORN
Middle Name
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1987
Primary Specialty GASTROENTEROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GUTHRIE MEDICAL GROUP PC
Group Practice Pac Id 6002728656
Number Of Group Practice Members 536
Line 1 Street Address 3 TIOGA BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City APALACHIN
State NY
Zip Code 137324150
Phone Number 6076252136
Hospital Affiliation Ccn 1 390079
Hospital Affiliation Lbn 1 ROBERT PACKER HOSPITAL
Hospital Affiliation Ccn 2 330277
Hospital Affiliation Lbn 2 CORNING HOSPITAL
Hospital Affiliation Ccn 3 391305
Hospital Affiliation Lbn 3 TROY COMMUNITY HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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