Sattasiri, Wittaya Michael

Sattasiri, Wittaya Michael is an sole proprietor health care provider with primary practice located at 808 S James M Campbell Blvd , Columbia TN 38401-4338. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Sattasiri, Wittaya Michael can be contacted via phone (407) 788-1906.

Contact Information

Primary practice address
808 S James M Campbell Blvd Columbia TN 38401-4338
Phone: (407) 788-1906
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD0000037469 Tennessee
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD0000037469 Tennessee

Profile Details

NPI number 1821198029
LBN Legal business name Sattasiri, Wittaya Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jan 4th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821198029 NPPES
Tennessee MEDICAID 4113874
Tennessee Other 4113874

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