National Provider Identifier Database

PRAKORB ISARIYAWONGSE, MD – NPI #1912012022
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Contact Information

PRAKORB ISARIYAWONGSE, MD
129 SIMPSON ROAD
SUITE 108
BROWNSVILLE, PA  15417
Phone: 724-785-9696
Fax: 724-785-7225
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for PRAKORB ISARIYAWONGSE

NPI Number 1912012022
Credentials MD
Entity Individual
Enumeration date 08/20/2006
Last updated 08/17/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • PA License #: MD033993L
  • PA Medicaid: 0005869240004
  • Other: 020031897 PALMETTO MEDICARE
  • Other: 60542 UNISON
  • Other: 251310157 UNITED HEALTH CARE
  • Other: 0708585 UNITED MINE WORKERS
  • PA Other: 7938474011 CIGNA
  • PA Other: 18700 HEALTH AMERICA
  • PA Other: 129649 HIGHMARK
  • PA Other: 202932 UPMC
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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