Individual
DR. SATYAM TATINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 MARY STREET, EVANSVILLE, IN 47747-0001
(812) 450-7899
(812) 450-6029
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 450-7899
(812) 450-6029
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01041086A
IN
207RC0000X
Cardiovascular Disease Physician
036-070645
IL
207RC0000X
Cardiovascular Disease Physician
29405
KY
207RI0011X
Interventional Cardiology Physician
Primary
01041086A
IN
207RI0011X
Interventional Cardiology Physician
036-070645
IL
207RI0011X
Interventional Cardiology Physician
29405
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042516
ANTHEM
—
01
—
0000047569-01
WELBORN HEALTH PLANS
—
05
—
100344050
—
IN
01
—
17146
CIGNA
—
01
—
195834
HEALTHLINK
—
05
—
64875065
—
KY
01
—
839414P
SIHO
—
Enumeration date
05/02/2006
Last updated
03/08/2018
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