MEDICARE: SATISH CHUNDRU DO

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	207ZF0201X	Forensic Pathology Physician	M9927	TX

General Provider Information

NPI Number	:	1770113789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SATISH CHUNDRU DO

Provider Business Mailing Address
First Line	:	4111 LOGAN RIDGE DR
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-2071
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4111 LOGAN RIDGE DR
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-2071
Country	:	US
Telephone Number	:	305-283-3371
Fax Number	:

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

Provider Enumeration Date	:	01/17/2020
Last Update Date	:	01/17/2020

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Directions to “ SATISH CHUNDRU DO” Practice Location

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