# SATISH SHASHIDHARA

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

## Provider details

- **NPI number:** 1750777934
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | DR.0061916 | CO | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 0102206725 | VA | Yes |

## Other

- **Enumeration date:** 04/14/2015
- **Last updated:** 08/30/2021