Most Relevant Information
Provider Data
| NPI Number: | 1003259003 |
| Provider Name: | EVA VAISHNAV DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2013 |
| Last Updated: | 11/11/2020 |
Provider Practice Location
1000 E MOUNTAIN BLVD
WILKES BARRE
PA
187110027
Practice Location Phone/Fax
| Phone: | 5708086020 |
| Fax: |
Provider Mailing Location
100 N ACADEMY AVE
DANVILLE
PA
178224903
Provider Mailing Phone/Fax
| Phone: | 5702716144 |
| Fax: | 5702716578 |