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Individual

SATISH DASARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8840 CALUMET AVE, SUITE 103, MUNSTER, IN 46321-2529
(219) 836-7246
(219) 836-6454
Mailing address
8840 CALUMET AVE, SUITE 102, MUNSTER, IN 46321-2545
(219) 836-7246
(219) 836-6454

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
01036769A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000330864
BLUE CROSS BLUE SHIELD
IN
01
01036769A
BCBS OF ILLINOIS
IL
01
01036769A
LICENSE NUMBER
IN
01
050085654
MEDICARE RAILROAD
GA
05
100259550A
IN
01
5871205
AETNA
IN
01
P00277947
MEDICARE RAILROAD
GA
Enumeration date
07/14/2005
Last updated
05/23/2012
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