Provider Demographics
NPI:1720023971
Name:SITAPARA, ASHISH J (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHISH
Middle Name:J
Last Name:SITAPARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:770 NEWTOWN YARDLEY RD
Mailing Address - Street 2:SUITE 220A
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-4501
Mailing Address - Country:US
Mailing Address - Phone:215-968-4804
Mailing Address - Fax:215-968-4759
Practice Address - Street 1:770 NEWTOWN YARDLEY RD
Practice Address - Street 2:SUITE 220A
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4501
Practice Address - Country:US
Practice Address - Phone:215-968-4804
Practice Address - Fax:215-968-4759
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221806207RG0300X
NJ25MA07961500207RG0300X
PAMD428153207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA111870Medicare PIN
PA106805-PF2Medicare ID - Type Unspecified
MAA37918Medicare UPIN
PAI21835Medicare UPIN
111869WQAMedicare PIN