Individual
SATISH DASARI
Active
Individual
SATISH DASARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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