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Individual

SHIRISH S SATPUTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6400 FANNIN ST STE 2800, HOUSTON, TX 77030-1534
(713) 704-7100
(713) 867-2591
Mailing address
6400 FANNIN ST STE 2070, HOUSTON, TX 77030-1521
(713) 704-6731
(713) 704-7197

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
P5888
TX
2084N0600X
Clinical Neurophysiology Physician
P5888
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00106W
MDCR GRP PTAN HARRIS CO
TX
01
0035TD
BCBSTX GRP PROV REC #
TX
01
153449704
MDCD GRP TPI
TX
Enumeration date
05/28/2009
Last updated
04/25/2014
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