Healthcare Provider Details

I. General information

NPI: 1366072183
Provider Name (Legal Business Name): SATYAMRITH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2020
Last Update Date: 01/21/2020
Certification Date: 01/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 SW 12TH ST STE C101
OCALA FL
34471-6502
US

IV. Provider business mailing address

40 SW 12TH ST STE C101
OCALA FL
34471-6502
US

V. Phone/Fax

Practice location:
  • Phone: 620-332-6392
  • Fax:
Mailing address:
  • Phone: 620-332-6392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SATYANARAYAN HEGDE
Title or Position: OWNER
Credential: MD
Phone: 620-332-6392