MEDICARE: PERRYO MEDICAL CENTER, P C

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	207R00000X	Internal Medicine Physician	MD049150L	PA

General Provider Information

NPI Number	:	1982666863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERRYO MEDICAL CENTER, P C

Provider Business Mailing Address
First Line	:	PO BOX 646
Second Line	:
City	:	PERRYOPOLIS
State	:	PA
Zip	:	15473-0646
Country	:	US
Telephone Number	:	724-736-0443
Fax Number	:	724-736-0454

Provider Business Practice Location Address
First Line	:	405 LIBERTY STREET
Second Line	:
City	:	PERRYOPOLIS
State	:	PA
Zip	:	15473-0646
Country	:	US
Telephone Number	:	724-736-0443
Fax Number	:	724-736-0454

Authorized Official
Title or Position	:	PRESIDENT -OWNER
Name	:	DR. SANATKUMAR C SHROFF
Credential	:	M.D.
Telephone Number	:	724-736-0443

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	08/23/2023

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Practice Location Address:

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