# SATHYAPRASAD C BURJONRAPPA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144322561
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 25MA08821500 | NJ | — |
| 2086S0120X | Pediatric Surgery Physician | 253600 | NY | — |
| 2086S0120X | Pediatric Surgery Physician | 25MA08821500 | NJ | Yes |
| 2086S0120X | Pediatric Surgery Physician | C169195 | CA | — |
| 2086S0120X | Pediatric Surgery Physician | ME136023 | FL | — |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 07/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100539000 | — | FL |
| 01 | — | NE0W8 | BLUE CROSS BLUE SHIELD | FL |