Healthcare Provider Details

I. General information

NPI: 1265411243
Provider Name (Legal Business Name): SRINIVASA SATTI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 MYRTLE ST STE 190
ERIE PA
16502-4604
US

IV. Provider business mailing address

2600 6TH ST SW SUITE A2710
CANTON OH
44710-1702
US

V. Phone/Fax

Practice location:
  • Phone: 814-453-7767
  • Fax: 814-454-6667
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberMD466024
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number35071157
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: