Individual
SATYA V. GARIMELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 QUATERMASTER COURT, JEFFERSONVILLE, IN 47130-3623
(812) 282-1617
(812) 288-7625
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(812) 949-5482
(812) 949-5966
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01062841A
IN
207RC0000X
Cardiovascular Disease Physician
33516
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01062841A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200839060
—
IN
05
—
64016082
—
KY
Enumeration date
07/05/2006
Last updated
01/23/2017
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