=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992002372
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SATISH DINAKAR MD PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2011
-----------------------------------------------------
Last Update Date | 02/19/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2429 BISSONNET ST STE. 542
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77005-1451
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-625-7374
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2429 BISSONNET ST STE. 542
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77005-1451
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-625-7374
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SATISHCHANDRA DINAKAR
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 267-625-7374
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | N7274
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------