Healthcare Provider Details
I. General information
NPI: 1427511005
Provider Name (Legal Business Name): SATISH HARI CHANDRASEKHAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/10/2019
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5802 SARATOGA BLVD STE 120
CORPUS CHRISTI TX
78414-4253
US
IV. Provider business mailing address
3802 SARATOGA BLVD APT 511
CORPUS CHRISTI TX
78415-5837
US
V. Phone/Fax
- Phone: 361-985-5000
- Fax:
- Phone: 561-339-9974
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 340169 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | W0144 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | W0144 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: