Pancholy, Samir Bipin
Pancholy, Samir Bipin is an sole proprietor health care provider with primary practice located at 401 N State St , Clarks Summit PA 18411-1061. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Pancholy, Samir Bipin can be contacted via phone (570) 587-7817.Contact Information
Primary practice address
401 N State St
Clarks Summit PA 18411-1061
Phone: (570) 587-7817
Fax: (570) 587-7815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD045919L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD045919L | Pennsylvania |
Profile Details
| NPI number | 1609846674 |
|---|---|
| LBN Legal business name | Pancholy, Samir Bipin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609846674 | NPPES |
| Pennsylvania | Other | 23711 | GEISINGER HEALTH |
| Pennsylvania | Other | 801519 | GEISINGER HEALTH |
| Pennsylvania | MEDICAID | 001584853 | GEISINGER HEALTH |
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