Dilliswar Sahoo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD026761E Issued in PA

Practice address

48 W Phillip St
Coaldale, PA 18218

Phone

(570) 645-2184

Fax

(570) 645-3297

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1275593485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 W PHILLIP ST",
            "city": "COALDALE",
            "state": "PA",
            "postal_code": "18218",
            "telephone_number": "570-645-2184",
            "fax_number": "570-645-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 W PHILLIP ST",
            "city": "COALDALE",
            "state": "PA",
            "postal_code": "18218",
            "telephone_number": "570-645-2184",
            "fax_number": "570-645-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHOO",
        "first_name": "DILLISWAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD026761E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001390391",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Meyers, DO
• Smita S Mody, MD
• Matthew D Morgan, PA-C
• Jordan Lynn Nowacki, OTR/L
• Michael Paul Sabol, D.O.
• Jennifer M. Smell
• Joseph L Spadoni, M.D.
• St Luke'S Physician Group Inc
• St. Luke'S Physician Group, Inc
• St. Luke'S Physician Group, Inc

• Internal Medicine Physician in Coaldale, PA
• Providers in Coaldale, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.