Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | M8317 | TX |
NPI | 1578658399 |
---|---|
Provider Name | Ramadass Satya |
First Address | Keller, TX 76248-6872 |
Second Address | Fort Worth, TX 76104-3146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 28/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00JO62 | (02) | TX |
TXB120692 | (02) | TX |
TXB120694 | (02) | TX |