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NPI Code Detail

MEDICARE: DR. SERA SATOI MD

MEDICARE: DR. SERA SATOI MD
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 Program
2207R00000XInternal Medicine Physician38779NH

General Provider Information

NPI Number : 1679189195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SERA SATOI MD
Provider Business Mailing Address
First Line : PO BOX 810
Second Line :
City : HANOVER
State : NH
Zip : 03755-0810
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 580 COURT ST
Second Line :
City : KEENE
State : NH
Zip : 03431-1718
Country : US
Telephone Number : 603-354-5400
Fax Number : 603-640-1228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2020
Last Update Date : 05/18/2026

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