Individual
SATISH GEDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-6467
(315) 624-6469
Mailing address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-6467
(315) 624-6469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
003802-1
NY
208M00000X
Hospitalist Physician
Primary
003802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03340223
—
NY
Enumeration date
06/11/2008
Last updated
12/30/2014
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