NPI Code Details Logo

NPI 1275724585

NPI 1275724585 : SATISH AGADI MD : GALVESTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1275724585
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SATISH AGADI MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/05/2007
-----------------------------------------------------
    Last Update Date     |    10/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    301 UNIVERSITY BLVD 
-----------------------------------------------------
    City                 |    GALVESTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77555-5302
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    409-772-3695
-----------------------------------------------------
    Fax                  |    409-772-3680
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 650859 DEPT 710
-----------------------------------------------------
    City                 |    DALLAS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75265-0859
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    409-772-2222
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084N0402X
-----------------------------------------------------
    Taxonomy Name        |    Neurology with Special Qualifications in Child Neurology Physician
-----------------------------------------------------
    License Number       |    N2358
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2084N0600X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Neurophysiology Physician
-----------------------------------------------------
    License Number       |    N2358
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2084P0005X
-----------------------------------------------------
    Taxonomy Name        |    Neurodevelopmental Disabilities Physician
-----------------------------------------------------
    License Number       |    N2358
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2080P0008X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Neurodevelopmental Disabilities Physician
-----------------------------------------------------
    License Number       |    N2358
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.