Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | ME131585 | FL |
N | 2084N0402X | Child Neurologist | N2358 | TX |
N | 2084N0600X | Clinical Neurophysiologist | ME131585 | FL |
N | 2084N0600X | Clinical Neurophysiologist | N2358 | TX |
NPI | 1275724585 |
---|---|
Provider Name | Dr. Satish Agadi |
First Address | San Antonio, TX 78229-3901 |
Second Address | San Antonio, TX 78229-4402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 20/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
214849611 | (05) | TX |
214849613 | (05) | TX |
75-2616977-052 | TRICARE (01) | TX |
8FA081 | BCBS (01) | TX |
P01464127 | RAIL ROAD MEDICARE (01) | TX |