| Sagar M Shah, DO | |
|
1800 Mulberry St, Scranton, PA 18510-2369 | |
| (570) 703-8151 | |
| Not Available |
| Full Name | Sagar M Shah |
|---|---|
| Gender | Male |
| Speciality | Radiology - Body Imaging |
| Location | 1800 Mulberry St, Scranton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144640616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | OS020153 (Pennsylvania) | Secondary |
| 2085B0100X | Radiology - Body Imaging | OS020153 (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | University Of Penn - Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
| Entity Name | Geisinger-hm Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Sagar M Shah, DO 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Sagar M Shah, DO 1800 Mulberry St, Scranton, PA 18510-2369 Ph: (570) 703-8151 |
Dr. Shaun W. Mclaughlin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8151 Fax: 570-703-8387 | |
Dr. Salman Sikandar Mirza, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St., Scranton, PA 18510 Phone: 570-703-8151 Fax: 570-703-8387 | |
Jamie S Stallman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-307-4225 Fax: 570-307-4226 | |
Champak M Dedhia, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-307-4225 | |
Jonathon C. Sullum, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2601 Stafford Avenue, Scranton, PA 18505 Phone: 570-346-6633 | |
Kevin T Fogarty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Lackawanna Ave Ste 200, Scranton, PA 18503 Phone: 484-884-4500 Fax: 570-800-7529 |