| Dilliswar Sahoo Md Pc | |
|
48 W Phillips St Coaldale PA 18218-1437 | |
| (570) 645-2184 | |
| (570) 645-3297 |
| Full Name | Dilliswar Sahoo Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 48 W Phillips St, Coaldale, Pennsylvania |
| Authorized Official Name and Position | Dilliswar Sahoo (PRESIDENT) |
| Authorized Official Contact | 5706452184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dilliswar Sahoo Md Pc Po Box 25 Coaldale PA 18218-0025 Ph: (570) 645-2184 | Dilliswar Sahoo Md Pc 48 W Phillips St Coaldale PA 18218-1437 Ph: (570) 645-2184 |
| NPI Number | 1851321897 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 02/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851321897 | NPI | - | NPPES |
| 0008909790002 | Medicaid | PA | |
| 1390391 | Other | HIGHMARK BS | |
| 060001056 | Other | PA | TRAVELERS MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
St. Luke's Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 W Phillips St, Coaldale, PA 18218 Phone: 570-645-2184 | |
Coaldale Cardiology, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 570-645-0495 Fax: 570-645-0497 | |
St. Luke's Physician Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 W Ruddle St, Suite 800, Coaldale, PA 18218 Phone: 570-645-1499 |