MEDICARE: SAGAR VIHARI VALLABH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	MD027260E	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	100000297	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33299	OTHER	PA	HEALTH AMERICA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	2735756-001	OTHER	PA	CIGNA
6	0004283298	OTHER	PA	AETNA
7	100118	OTHER	PA	HIGHMARK BC BS
8	000000114827	OTHER	OH	ANTHEM
9	102940	OTHER	PA	UPMC

General Provider Information

NPI Number	:	1114988219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAGAR VIHARI VALLABH M.D.

Provider Business Mailing Address
First Line	:	2501 SHENANGO VALLEY FWY
Second Line	:	SUITE 3
City	:	HERMITAGE
State	:	PA
Zip	:	16148-2536
Country	:	US
Telephone Number	:	724-983-0223
Fax Number	:	724-983-1317

Provider Business Practice Location Address
First Line	:	2501 SHENANGO VALLEY FWY
Second Line	:	SUITE 3
City	:	HERMITAGE
State	:	PA
Zip	:	16148-2536
Country	:	US
Telephone Number	:	724-983-0223
Fax Number	:	724-983-1317

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	11/03/2011

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Directions to “ SAGAR VIHARI VALLABH M.D.” Practice Location

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