Individual
SAGAR M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8151
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
OS020153
PA
2085R0202X
Diagnostic Radiology Physician
OS020153
PA
Other
Enumeration date
04/23/2014
Last updated
08/05/2020
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