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NPI Code Detail

MEDICARE: DR. RAJ SATKUNASIVAM M.D., FRCSC

MEDICARE: DR. RAJ SATKUNASIVAM M.D., FRCSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician45962TX
2208800000XUrology PhysicianC56083CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134551278
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAJ SATKUNASIVAM M.D., FRCSC
Provider Business Mailing Address
First Line : 6560 FANNIN ST STE 2100
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2769
Country : US
Telephone Number : 713-441-6455
Fax Number :
Provider Business Practice Location Address
First Line : 6560 FANNIN ST STE 2100
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2769
Country : US
Telephone Number : 713-441-6455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2013
Last Update Date : 03/17/2018

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