Individual
DILLISWAR SAHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
48 W PHILLIP ST, COALDALE, PA 18218
(570) 645-2184
(570) 645-3297
Mailing address
48 W PHILLIP ST, COALDALE, PA 18218
(570) 645-2184
(570) 645-3297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD026761E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001390391
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/23/2006
Last updated
09/27/2012
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