PRAKORB ISARIYAWONGSE, MD, General Practice BROWNSVILLE, PA

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	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Surgery	208600000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for PRAKORB ISARIYAWONGSE · (Male)

NPI Number	`1912012022`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	08/20/2006
Last updated	08/17/2011 - About 15 years ago
Sole proprietor ¹	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(s)	MONONGAHELA VALLEY HOSPITAL - (Acute Care) 1163 COUNTRY CLUB ROAD MONONGAHELA, PA 15063 UNIONTOWN HOSPITAL - (Acute Care) 500 WEST BERKELEY STREET UNIONTOWN, PA 15401

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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PRAKORB ISARIYAWONGSE, MD – NPI #1912012022General Practice

Contact Information

Specialty

General Practice

Surgery

NPI Profile & details for PRAKORB ISARIYAWONGSE · (Male)

Reviews for PRAKORB ISARIYAWONGSE

PRAKORB ISARIYAWONGSE, MD – NPI #1912012022
General Practice