MEDICARE: PADMAJA SATTU 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
1	207R00000X	Internal Medicine Physician	35084063	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1972508547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PADMAJA SATTU M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1013
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-8013
Country	:	US
Telephone Number	:	937-335-9998
Fax Number	:	937-335-9840

Provider Business Practice Location Address
First Line	:	3130 N DIXIE HWY
Second Line	:	STE 105
City	:	TROY
State	:	OH
Zip	:	45373-1337
Country	:	US
Telephone Number	:	937-440-4220
Fax Number	:	937-440-4224

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	07/08/2007

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Directions to “ PADMAJA SATTU M.D.” Practice Location

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