Provider Demographics
NPI:1487616322
Name:DHAR, SANJAY (MD)
Entity type:Individual
Prefix:
First Name:SANJAY
Middle Name:
Last Name:DHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 5TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4217
Practice Address - Street 1:112 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1720
Practice Address - Country:US
Practice Address - Phone:717-217-4300
Practice Address - Fax:717-217-4217
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD420611207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001923420 0003Medicaid
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA50055993OtherCAPITAL BLUE CROSS-WMG
PA867633OtherMEDICARE GROUP #
PAP00468815OtherRAILROAD MEDICARE
PA1530252OtherGATEWAY-WMG
PA243488OtherUNISON-WMG
PA25-1716306OtherINTERGROUP
PA7184446OtherAETNA NON-HMO
PA0019234200004Medicaid
PA1149404OtherFIRST HEALTH
PA120420410OtherDEPT OF LABOR
PA1436398OtherHIGHMARK BLUE SHIELD
PA25-1716306OtherINFORMED
PA25-1716306OtherGREATWEST
PA25-1716306OtherHEALTHNET/TRICARE
PA1839596OtherAETNA HMO
PA20090429OtherAMERIHEALTH MERCY-WMG
PA25-1716306OtherDEVON
PA25-1716306OtherMULTIPLAN/PHCS
MD928593-02OtherCAREFIRST MD BCBS
PA1530252OtherGATEWAY
MD018514100Medicaid
PA211698OtherJOHNS HOPKINS
PA234629OtherUNISON (HFC)
PA783867OtherHEALTH AMERICA
PA2183752OtherMAMSI
PA3395OtherGEISINGER HEALTH PLAN
PA50075853OtherCAPITAL BLUECROSS
PAG920-0082/KDM4CUOtherCAREFIRST
PAMD420611OtherMEDICAL LICENSE
PAMD420611OtherMEDICAL LICENSE
PA25-1716306OtherINFORMED
PAP00468815OtherRAILROAD MEDICARE
PA7184446OtherAETNA NON-HMO