Provider Demographics
NPI:1245415553
Name:CHESHTY, SADIYA (MD)
Entity Type:Individual
Prefix:
First Name:SADIYA
Middle Name:
Last Name:CHESHTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SADIYA
Other - Middle Name:
Other - Last Name:SARIJ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3200
Mailing Address - Street 2:2104 HARRISBURG PIKE STE. 300
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604-3200
Mailing Address - Country:US
Mailing Address - Phone:717-544-3400
Mailing Address - Fax:717-544-3408
Practice Address - Street 1:2104 HARRISBURG PIKE
Practice Address - Street 2:STE. 300
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601
Practice Address - Country:US
Practice Address - Phone:717-544-3400
Practice Address - Fax:717-544-3408
Is Sole Proprietor?:No
Enumeration Date:2008-01-05
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD436360207RG0100X
IL036-116623207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD436360OtherMEDICAL LICENSE
PAP00820910OtherRAILROAD MEDICARE
PA1022976560001Medicaid
PAMD436360OtherMEDICAL LICENSE