Healthcare Provider Details

I. General information

NPI: 1093644726
Provider Name (Legal Business Name): ASHWIN SATPUTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ERWIN RD
DURHAM NC
27705-4699
US

IV. Provider business mailing address

455 E WATERSIDE DR UNIT 2315
CHICAGO IL
60601-0019
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-8111
  • Fax:
Mailing address:
  • Phone: 425-463-7199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number32829
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: