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NPI Code Detail

MEDICARE: KALI SATIRA

MEDICARE: KALI SATIRA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program0108249592SC

General Provider Information

NPI Number : 1174449094
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALI SATIRA
Provider Business Mailing Address
First Line : 748 MAYNARD LN
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29486-3048
Country : US
Telephone Number : 917-979-0453
Fax Number :
Provider Business Practice Location Address
First Line : 9200 UNIVERSITY BLVD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9121
Country : US
Telephone Number : 917-979-0453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

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Directions to “ KALI SATIRA ” Practice Location

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