Individual
SATISH KRISHNAMURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 IRVING AVE, STE. 503, SYRACUSE, NY 13210-1603
(315) 464-4470
(315) 464-5520
Mailing address
725 IRVING AVE, STE. 503, SYRACUSE, NY 13210-1603
(315) 464-4470
(315) 464-5520
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
218149
NY
207T00000X
Neurological Surgery Physician
4301087790
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02089449
—
NY
05
—
489591910
—
MI
01
—
700H262230
BLUE CROSS-BLUE CROSS
—
01
—
SK087790
CHAMPUS-CHAMPUS
—
Enumeration date
08/09/2005
Last updated
10/17/2013
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