Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | P5888 | TX |
N | 2084N0600X | Clinical Neurophysiologist | P5888 | TX |
NPI | 1003041443 |
---|---|
Provider Name | Shirish S Satpute |
First Address | Houston, TX 77030-1521 |
Second Address | Houston, TX 77030-1534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2009 |
Last Update Date | 25/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00106W | MDCR GRP PTAN HARRIS CO (01) | TX |
0035TD | BCBSTX GRP PROV REC # (01) | TX |
153449704 | MDCD GRP TPI (01) | TX |