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NPI Code Detail

MEDICARE: DR. SATYA P SAHUKAR M.D.

MEDICARE: DR. SATYA P SAHUKAR M.D.
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
1208000000XPediatrics Physician105951NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010105951OTHERNYBLUE CHOICE PROVIDER ID
2000503934001OTHERNYBC/BS OF WNY PROVIDER ID
310502502OTHERNYCAQH PROVIDER ID

General Provider Information

NPI Number : 1265437248
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SATYA P SAHUKAR M.D.
Provider Business Mailing Address
First Line : 300 WEST AVE
Second Line :
City : BROCKPORT
State : NY
Zip : 14420-1118
Country : US
Telephone Number : 585-637-3905
Fax Number : 585-637-4990
Provider Business Practice Location Address
First Line : 301 WEST AVE
Second Line :
City : ALBION
State : NY
Zip : 14411-1522
Country : US
Telephone Number : 585-589-5613
Fax Number : 585-589-0872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/27/2012

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