Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Srivatsav Challa

Individual provider Medical Physician Assistant · NPI 1124940333

Mr. Srivatsav Challa is a Medical Physician Assistant in Wilkes Barre, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026

Practice location Address checks out

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0001
Phone: (570) 808-7300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA067855 (PA)

Record details

NPI number1124940333
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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