Healthcare Provider Details

I. General information

NPI: 1336422286
Provider Name (Legal Business Name): BISHOW CHANDRA SHRESTHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 11/25/2022
Certification Date: 11/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 V TWIN DR STE 205
GETTYSBURG PA
17325-7878
US

IV. Provider business mailing address

3421 CONCORD RD STE 300
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-339-2790
  • Fax: 717-798-3162
Mailing address:
  • Phone: 717-339-2790
  • Fax: 717-798-3162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD478727
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD19621
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: