MEDICARE: DR. SATISH A 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	207RH0003X	Hematology & Oncology Physician	MD039646L	PA
2	207RH0003X	Hematology & Oncology Physician	D0036147	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487679593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SATISH A SHAH M.D.

Provider Business Mailing Address
First Line	:	20 EXPEDITION TRL
Second Line	:	SUITE 101
City	:	GETTYSBURG
State	:	PA
Zip	:	17325-8598
Country	:	US
Telephone Number	:	717-334-4033
Fax Number	:	717-334-5599

Provider Business Practice Location Address
First Line	:	20 EXPEDITION TRL
Second Line	:	SUITE 101
City	:	GETTYSBURG
State	:	PA
Zip	:	17325-8598
Country	:	US
Telephone Number	:	717-334-4033
Fax Number	:	717-334-5599

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	03/22/2016

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