Manam, Satya P
Manam, Satya P is an individual health care provider with primary practice located at 626 Bethany Rd , Dekalb IL 60115-4939. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Manam, Satya P can be contacted via phone (815) 748-8993.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036088418 | Illinois |
Profile Details
| NPI number | 1497752703 |
|---|---|
| LBN Legal business name | Manam, Satya P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Aug 4th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497752703 | NPPES |
| Illinois | MEDICAID | 036088418 |
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