Healthcare Provider Details

I. General information

NPI: 1588637664
Provider Name (Legal Business Name): SHASHI BAKSH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 HARRISBURG PIKE SUITE 201
LANCASTER PA
17601-2415
US

IV. Provider business mailing address

2301 HARRISBURG PIKE STE 201
LANCASTER PA
17601-2415
US

V. Phone/Fax

Practice location:
  • Phone: 717-393-7771
  • Fax: 717-393-7328
Mailing address:
  • Phone: 717-393-7771
  • Fax: 717-393-7328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number39D1074950
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD065880L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: