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General NPI Number Information
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NPI Number | 1427455872
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Entity Type | Organization
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Legal Business Name | SATYA MEDICAL ASSOCIATE PLLC
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Dates
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Enumeration Date | 12/01/2014
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 10 DUNHAM RD
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City | HARTSDALE
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State | NY
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Zip | 10530-1213
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Country | US
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Telephone | 732-979-3004
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Fax |
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Provider Business Mailing Address
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Address Line | 10 DUNHAM RD
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City | HARTSDALE
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State | NY
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Zip | 10530-1213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAJASEKHAR BUDDHAVARAPU
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Credential |
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Telephone | 732-979-3004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 234509
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License Number State | NY
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