Individual
DR. SATEESH BABU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 S BEDFORD RD, SUITE 207, MOUNT KISCO, NY 10549-3440
(914) 241-3204
(914) 593-7881
Mailing address
PO BOX 9, HAWTHORNE, NY 10532-0009
(914) 593-7880
(914) 593-7881
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
117305
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00670842
—
NY
01
—
38A3833641
MEDICARE PTAN
NY
01
—
38A3835223
MEDICARE PTAN
NY
01
—
38A383K221
MEDICARE PTAN
NY
01
—
38A383K222
MEDICARE PTAN
NY
01
—
770002079
RAIL ROAD MEDICARE
NY
01
—
A100027964
MEDICARE PTAN
NY
01
—
A400027966
MEDICARE PTAN
NY
Enumeration date
05/23/2005
Last updated
12/21/2021
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