# SATHISH R. MODUGU MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sports, Spine & Pain Treatment Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851403935
- **Authorized official:** DR. SATHISH REDDY MODUGU M. D. (PRESIDENT)
- **Authorized official phone:** (914) 681-9750

## Contact information

- **Practice address:** 280 N CENTRAL AVE, SUITE 204, HARTSDALE, NY 10530-1832
- **Practice address phone:** (914) 681-9750
- **Practice address fax:** (914) 681-9755
- **Mailing address:** 280 N CENTRAL AVE, SUITE 204, HARTSDALE, NY 10530-1832
- **Mailing address phone:** (914) 681-9750
- **Mailing address fax:** (914) 681-9755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/21/2023