MEDICARE: BHARTESH SHAH 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	2085R0001X	Radiation Oncology Physician	MD473004	PA

General Provider Information

NPI Number	:	1205285970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHARTESH SHAH M.D.

Provider Business Mailing Address
First Line	:	1600 ST LUKES BLVD
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-5671
Country	:	US
Telephone Number	:	484-503-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 ST LUKES BLVD
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-5671
Country	:	US
Telephone Number	:	484-503-4400
Fax Number	:

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

Provider Enumeration Date	:	06/03/2016
Last Update Date	:	01/05/2026

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