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NPI Code Detail

MEDICARE: SATHEESH K. KATHULA MD

MEDICARE:   SATHEESH K. KATHULA  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
1207RH0003XHematology & Oncology Physician35074930OH
2207RH0003XHematology & Oncology PhysicianOH35074930OH
3207RH0003XHematology & Oncology Physician35.074930OH

Other Identifiers

General Provider Information

NPI Number : 1760432769
Entity Type Code : Individual
Provider Name (Legal Business Name) : SATHEESH K. KATHULA MD
Provider Business Mailing Address
First Line : 6680 POE AVE STE 200
Second Line :
City : DAYTON
State : OH
Zip : 45414-2855
Country : US
Telephone Number : 937-280-8400
Fax Number : 937-280-8373
Provider Business Practice Location Address
First Line : 3120 GOVERNORS PLACE BLVD
Second Line :
City : KETTERING
State : OH
Zip : 45409-1328
Country : US
Telephone Number : 937-293-1622
Fax Number : 937-245-6308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 01/06/2022

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Directions to “ SATHEESH K. KATHULA MD” Practice Location

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