Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PRAKORB ISARIYAWONGSE, MD
Active Sole ProprietorMR. PRAKORB ISARIYAWONGSE, MD is a General Practice healthcare provider located in BROWNSVILLE, Pennsylvania. NPI 1912012022 is currently active in the NPPES registry. Verify at CMS.
General Practice · BROWNSVILLE, PA
Registration Details
- NPI Number
- 1912012022
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2006 (19.993262021241 yrs)
- Last Updated
- Aug 17, 2011
- Licenses
-
MD033993L (PA)MD033993L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
129 SIMPSON ROADSUITE 108BROWNSVILLE, PA, 15417Browse PA providers · Browse ZIP 15417
- Phone
- 7247859696
- Fax
- 7247857225
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.