MEDICARE: ASHUTOSH V KSHIRSAGAR 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	208800000X	Urology Physician	0101239960	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD445740	OTHER	PA	MEDICAL LICENSE
2	D0063590	OTHER	MD	STATE LICENSE
3	0101239960	OTHER	VA	STATE MEDICAL LICENSE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184640203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHUTOSH V KSHIRSAGAR M.D.

Provider Business Mailing Address
First Line	:	935 THORN RUN RD
Second Line	:	SUITE 210
City	:	MOON TWP
State	:	PA
Zip	:	15108-2861
Country	:	US
Telephone Number	:	412-299-8550
Fax Number	:	412-299-8922

Provider Business Practice Location Address
First Line	:	935 THORN RUN RD
Second Line	:	SUITE 210
City	:	MOON TWP
State	:	PA
Zip	:	15108-2861
Country	:	US
Telephone Number	:	412-299-8550
Fax Number	:	412-299-8922

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	03/07/2023

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