Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 049056 | CT |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 049056 | CT |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 049056 | CT |
NPI | 1659503480 |
---|---|
Provider Name | Vinayak Sathe |
First Address | Farmington, CT 06030-2212 |
Second Address | Farmington, CT 06030-4038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2009 |
Last Update Date | 15/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1659503480 | (05) | CT |