Organization
SATOSHI IKEDA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SATOSHI IKEDA M.D. (DOCTOR)
(410) 392-3033
Entity
Organization
Contact information
Practice address
111 W HIGH ST, SUITE 211, ELKTON, MD 21921-5529
(410) 392-3033
(410) 392-2897
Mailing address
71 OMEGA DR, BUILDING D, NEWARK, DE 19713-2063
(302) 283-3300
(302) 283-3321
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C100000901
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170001
—
MD
Enumeration date
10/05/2007
Last updated
10/24/2008
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