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Individual

SUMALATHA SATOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2101 JACKSON ST STE 101, ANDERSON, IN 46016-4386
(765) 609-6063
Mailing address
2101 JACKSON ST STE 101, ANDERSON, IN 46016-4386

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071336A
IN
207RG0100X
Gastroenterology Physician
Primary
01071336A
IN
207RG0100X
Gastroenterology Physician
50770
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00966446B
GA
05
200846990
IN
05
7100520940
KY
01
K254840
MEDICARE
KY
Enumeration date
12/09/2005
Last updated
11/26/2025
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