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NPI Code Detail

MEDICARE: SATISH KESAVARAMANUJAM M.D.

MEDICARE:   SATISH  KESAVARAMANUJAM  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
1208600000XSurgery PhysicianA96658CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609969005
Entity Type Code : Individual
Provider Name (Legal Business Name) : SATISH KESAVARAMANUJAM M.D.
Provider Business Mailing Address
First Line : 107 N HALL ST
Second Line : SUITE B
City : VISALIA
State : CA
Zip : 93291-5850
Country : US
Telephone Number : 559-730-2000
Fax Number : 559-730-2000
Provider Business Practice Location Address
First Line : 107 N HALL ST
Second Line : SUITE B
City : VISALIA
State : CA
Zip : 93291-5850
Country : US
Telephone Number : 559-730-2000
Fax Number : 559-730-2000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2006
Last Update Date : 03/05/2015

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Directions to “ SATISH KESAVARAMANUJAM M.D.” Practice Location

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