MEDICARE: SATISH CHANDER

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	119576	NY

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	:	1982602595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SATISH CHANDER

Provider Business Mailing Address
First Line	:	PO BOX 606
Second Line	:
City	:	PLEASANT VALLEY
State	:	NY
Zip	:	12569-0606
Country	:	US
Telephone Number	:	845-635-8755
Fax Number	:	845-635-1355

Provider Business Practice Location Address
First Line	:	1339 ROUTE 44
Second Line	:
City	:	PLEASANT VALLEY
State	:	NY
Zip	:	12569-7825
Country	:	US
Telephone Number	:	845-635-8755
Fax Number	:	845-635-1355

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	10/28/2010

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Directions to “ SATISH CHANDER ” Practice Location

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