Individual
DR. SATISH JAGAN MOHAN BANKURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1750 THOMPSON RD, COOS BAY, OR 97420-2100
(541) 269-0333
Mailing address
1750 THOMPSON RD, COOS BAY, OR 97420-2100
(541) 269-0333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301098724
MI
207R00000X
Internal Medicine Physician
Primary
MD165899
OR
Other
Enumeration date
06/04/2011
Last updated
08/11/2014
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