Individual
DR. SATISH BABU KANAKAMEDALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
4318 NORTHERN PIKE STE 203, MONROEVILLE, PA 15146-2846
(412) 683-2488
(412) 683-4420
Mailing address
4318 NORTHERN PIKE STE 203, MONROEVILLE, PA 15146-2846
(412) 683-2488
(412) 683-4420
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD47704L
PA
207RG0100X
Gastroenterology Physician
Primary
MD047704L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000004793
BLUE SHIELD
PA
05
—
0014251780005
—
PA
01
—
10723709
CAQH
—
Enumeration date
02/10/2006
Last updated
03/08/2023
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