Healthcare Provider Details

I. General information

NPI: 1396895728
Provider Name (Legal Business Name): SATYAJEET LAHIRI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/13/2025
Certification Date: 07/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24511 W JAYNE AVE
COALINGA CA
93210-9503
US

IV. Provider business mailing address

PO BOX 533
RUSK TX
75785-0533
US

V. Phone/Fax

Practice location:
  • Phone: 559-934-3663
  • Fax:
Mailing address:
  • Phone: 903-683-3421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberJ0983
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA38516
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: