Individual
SHYAM S BALEPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2106 HARRISBURG PIKE, SUITE 116, LANCASTER, PA 17601-2644
(717) 544-3600
(717) 544-3604
Mailing address
2106 HARRISBURG PIKE, SUITE 116, LANCASTER, PA 17601-2644
(717) 544-3600
(717) 544-3604
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD070796L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018060850001
—
PA
01
—
02158602
CAPITAL BLUE CROSS
PA
01
—
1518638
GATEWAY HEALTH PLAN
PA
01
—
2340762
AETNA HMO
PA
01
—
73619 4336
GEISINGER HEALTH PLAN
PA
01
—
7402122
AETNA NON-HMO
PA
01
—
851733
HIGHMARK BLUE SHIELD
PA
01
—
H18220
HEALTH ASSURANCE
PA
Enumeration date
01/03/2006
Last updated
12/02/2009
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