MEDICARE: MASAHIKO SATODA 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	207RI0011X	Interventional Cardiology Physician	304531	NY

General Provider Information

NPI Number	:	1841031648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MASAHIKO SATODA MD

Provider Business Mailing Address
First Line	:	2444 86TH ST STE C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4415
Country	:	US
Telephone Number	:	718-878-4303
Fax Number	:

Provider Business Practice Location Address
First Line	:	2444 86TH ST STE C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4415
Country	:	US
Telephone Number	:	718-878-4303
Fax Number	:

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

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	06/09/2024

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