Individual
DR. RUBY SATPATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 1700B, JACKSONVILLE, FL 32207-8334
(904) 398-0125
(904) 398-1832
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 224-5189
(904) 725-1622
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME126231
FL
207RI0011X
Interventional Cardiology Physician
23933
NE
207RI0011X
Interventional Cardiology Physician
36898
IA
207RI0011X
Interventional Cardiology Physician
Primary
ME126231
FL
207UN0901X
Nuclear Cardiology Physician
ME126231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016187600
—
FL
01
—
098684110
MEDICARE PTAN
NE
01
—
414530034
MEDICARE PTAN
IA
01
—
P01573016
RR MEDICARE
FL
Enumeration date
04/26/2007
Last updated
12/16/2016
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