MEDICARE: SAGAR V. VALLABH M.D. P.C.

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	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1891877247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGAR V. VALLABH M.D. P.C.

Provider Business Mailing Address
First Line	:	2501 SHENANGO VALLEY FWY
Second Line	:	SUITE 3
City	:	HERMITAGE
State	:	PA
Zip	:	16148-2536
Country	:	US
Telephone Number	:	724-983-0223
Fax Number	:	724-983-1319

Provider Business Practice Location Address
First Line	:	2501 SHENANGO VALLEY FWY
Second Line	:	SUITE 3
City	:	HERMITAGE
State	:	PA
Zip	:	16148-2536
Country	:	US
Telephone Number	:	724-983-0223
Fax Number	:	724-983-1317

Authorized Official
Title or Position	:	DELEGATED OFFICIAL
Name	:	DR. SAGAR VALLABH
Credential	:
Telephone Number	:	724-983-0223

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	11/03/2009

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