Dasari, Satish
Dasari, Satish is an individual health care provider with primary practice located at 8840 Calumet Ave Suite 103, Munster IN 46321-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Dasari, Satish can be contacted via phone (219) 836-7246.Contact Information
Primary practice address
8840 Calumet Ave Suite 103
Munster IN 46321-2529
Phone: (219) 836-7246
Fax: (219) 836-6454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01036769A | Indiana |
Profile Details
| NPI number | 1811996606 |
|---|---|
| LBN Legal business name | Dasari, Satish |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | May 23rd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811996606 | NPPES |
| Indiana | Other | 01036769A | LICENSE NUMBER |
| Indiana | Other | P00277947 | LICENSE NUMBER |
| Indiana | Other | 01036769A | LICENSE NUMBER |
| Indiana | Other | 050085654 | LICENSE NUMBER |
| Indiana | Other | 5871205 | LICENSE NUMBER |
| Indiana | MEDICAID | 100259550A | LICENSE NUMBER |
| Indiana | Other | 000000330864 | LICENSE NUMBER |
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