Provider Demographics
NPI:1124733795
Name:SATISH A. SHAH, M.D., P.C.
Entity type:Organization
Organization Name:SATISH A. SHAH, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SATISH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-334-4033
Mailing Address - Street 1:20 EXPEDITION TRL STE 101
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-8599
Mailing Address - Country:US
Mailing Address - Phone:717-334-4033
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER BLVD STE 341
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-3902
Practice Address - Country:US
Practice Address - Phone:610-619-7420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SATISH A. SHAH, M.D., P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty