Healthcare Provider Details

I. General information

NPI: 1639014228
Provider Name (Legal Business Name): ANUDEEP SATHYANARAYAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDSTAR WASHINGTON HOSPITAL CENTER, 110 IRVING ST. NW DEPT OF INTERNAL MEDICINE
WASHINGTON DC DC
20010
US

IV. Provider business mailing address

MEDSTAR WASHINGTON HOSPITAL CENTER, 110 IRVING ST. NW DEPT OF INTERNAL MEDICINE
WASHINGTON DC DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-2835
  • Fax: 202-877-8288
Mailing address:
  • Phone: 202-877-2835
  • Fax: 202-877-8288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: