Individual
DR. BHAGYALAKSHMI D SATYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 MUNDY ST, MAC IV BUILDING, WILKES BARRE, PA 18702-6830
(570) 924-0930
(570) 824-7755
Mailing address
150 MUNDY ST, MAC IV BUILDING, WILKES BARRE, PA 18702-6830
(570) 924-0930
(570) 824-7755
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD030677E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012306130009
—
PA
01
—
459794
BLUE CROSS
PA
01
—
78013450
GEISINGER
PA
01
—
823817
FPH
PA
Enumeration date
08/09/2006
Last updated
03/25/2009
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