MEDICARE: T. K. SATYA, M.D., P.A.

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	207N00000X	Dermatology Physician	ME85461	FL
2	207ND0101X	MOHS-Micrographic Surgery Physician	ME85461	FL
3	207RC0000X	Cardiovascular Disease Physician	ME81682	FL
4	207RC0000X	Cardiovascular Disease Physician	ME20401	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1386659837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T. K. SATYA, M.D., P.A.

Provider Business Mailing Address
First Line	:	3231 GULF GATE DR
Second Line	:	SUITE 101
City	:	SARASOTA
State	:	FL
Zip	:	34231-2406
Country	:	US
Telephone Number	:	941-387-4626
Fax Number	:	941-922-6396

Provider Business Practice Location Address
First Line	:	3231 GULF GATE DR
Second Line	:	SUITE 101
City	:	SARASOTA
State	:	FL
Zip	:	34231-2406
Country	:	US
Telephone Number	:	941-924-1193
Fax Number	:	941-922-0858

Authorized Official
Title or Position	:	OWNER
Name	:	DR. T. K. SATYA
Credential	:	M.D.
Telephone Number	:	941-387-4626

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	03/11/2018

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Directions to “T. K. SATYA, M.D., P.A. ” Practice Location

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