Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 037671 | MI |
NPI | 1093712804 |
---|---|
Provider Name | Dr. Satish N. Kamath |
First Address | Bloomfield Hills, MI 48302-2655 |
Second Address | Dearborn, MI 48124-2481 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 10/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1108201261 | BCBS IND (01) | MI |
1108201261 | BCN IND (01) | MI |
791083861 | RAILROAD MEDICARE (01) | MI |
E21158 | (02) | MI |