Mamidi, Satyanarayana M

Mamidi, Satyanarayana M is an individual health care provider with primary practice located at 1300 Clark St Unit 7 , Cambridge OH 43725-8875. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mamidi, Satyanarayana M can be contacted via phone (740) 439-5107.

Contact Information

Primary practice address
1300 Clark St Unit 7 Cambridge OH 43725-8875
Phone: (740) 439-5107
Fax: (740) 439-5183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 12853 West Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35-045590 Ohio

Profile Details

NPI number 1790710218
LBN Legal business name Mamidi, Satyanarayana M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jan 7th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790710218 NPPES
Other 001705987 MOUNTAINSTATE BLUECROSS B
MEDICAID 0517435 MOUNTAINSTATE BLUECROSS B
Other 11-3703997 MOUNTAINSTATE BLUECROSS B
Other DA3951 MOUNTAINSTATE BLUECROSS B
Other 113703997 0004 MOUNTAINSTATE BLUECROSS B

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