Provider Demographics
NPI:1114587672
Name:POKRYWA, STEPHEN MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MICHAEL
Last Name:POKRYWA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:DREXEL UNIVERSITY COM, INTERNAL MEDICINE RESIDENCY
Mailing Address - Street 2:245 N. 15TH ST. , 6TH FLOOR, MS 427
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102
Mailing Address - Country:US
Mailing Address - Phone:215-762-7916
Mailing Address - Fax:
Practice Address - Street 1:DREXEL UNIVERSITY COM, INTERNAL MEDICINE RESIDENCY
Practice Address - Street 2:245 N. 15TH ST. , 6TH FLOOR, MS 427
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1178
Practice Address - Country:US
Practice Address - Phone:215-762-7916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY57188207R00000X
PAMT219134207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine