Healthcare Provider Details

I. General information

NPI: 1548615339
Provider Name (Legal Business Name): MICHAEL SATKYES DAHIP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2016
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 N RIVERSIDE RD STE 220
SAINT JOSEPH MO
64507-2509
US

IV. Provider business mailing address

802 N RIVERSIDE RD STE 220
SAINT JOSEPH MO
64507-2509
US

V. Phone/Fax

Practice location:
  • Phone: 816-271-7074
  • Fax: 816-385-8083
Mailing address:
  • Phone: 816-271-7074
  • Fax: 816-385-8083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number2019022799
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: