MEDICARE: DR. SATEESH BABU MD

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
1	2086S0129X	Vascular Surgery Physician	117305	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	38A3833641	OTHER	NY	MEDICARE PTAN
2	A400027966	OTHER	NY	MEDICARE PTAN
4	A100027964	OTHER	NY	MEDICARE PTAN
5	770002079	OTHER	NY	RAIL ROAD MEDICARE
6	38A3835223	OTHER	NY	MEDICARE PTAN
7	38A383K222	OTHER	NY	MEDICARE PTAN
8	38A383K221	OTHER	NY	MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1346243565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SATEESH BABU MD

Provider Business Mailing Address
First Line	:	PO BOX 9
Second Line	:
City	:	HAWTHORNE
State	:	NY
Zip	:	10532-0009
Country	:	US
Telephone Number	:	914-593-7880
Fax Number	:	914-593-7881

Provider Business Practice Location Address
First Line	:	103 S BEDFORD RD
Second Line	:	SUITE 207
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-3440
Country	:	US
Telephone Number	:	914-241-3204
Fax Number	:	914-593-7881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	12/21/2021

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Directions to “ DR. SATEESH BABU MD” Practice Location

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