Individual
DR. SATHISH MODUGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 N CENTRAL AVE, SUITE 204, HARTSDALE, NY 10530-1832
(914) 681-9750
(914) 681-9755
Mailing address
280 N CENTRAL AVE, SUITE 204, HARTSDALE, NY 10530-1832
(914) 681-9750
(914) 681-9755
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
202468
NY
Other
Enumeration date
07/21/2005
Last updated
04/08/2015
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