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

Poonam Srivastava, MD

Individual provider Specialist · NPI 1063412757

Poonam Srivastava, MD is a Specialist in Selinsgrove, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1575 N Old Trl
Selinsgrove, PA 17870-9367
Phone: (570) 374-8555
Fax: (570) 374-9933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD039325L (PA)

Record details

NPI number1063412757
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESNovember 12, 2010

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