Organization
DILLISWAR SAHOO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DILLISWAR SAHOO MD (PRESIDENT)
(570) 645-2184
Entity
Organization
Contact information
Practice address
48 W PHILLIPS ST, COALDALE, PA 18218-1437
(570) 645-2184
(570) 645-3297
Mailing address
PO BOX 25, COALDALE, PA 18218-0025
(570) 645-2184
(570) 645-3297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008909790002
—
PA
01
—
060001056
TRAVELERS MEDICARE
PA
01
—
1390391
HIGHMARK BS
—
Enumeration date
07/04/2006
Last updated
02/12/2010
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