Individual
SHIVANI BISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 MARTIN AVE STE 125, EPHRATA, PA 17522
(717) 721-5700
(717) 715-1296
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 721-5700
(717) 715-1296
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD467392
PA
Other
Enumeration date
07/02/2015
Last updated
02/28/2025
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