Sattayatam, Pricha

Sattayatam, Pricha is an individual health care provider with primary practice located at 1200 E Tremont St , Hillsboro IL 62049-1912. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Sattayatam, Pricha can be contacted via phone (217) 532-6222.

Contact Information

Primary practice address
1200 E Tremont St Hillsboro IL 62049-1912
Phone: (217) 532-6222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036048608 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036048608 Illinois

Profile Details

NPI number 1205814100
LBN Legal business name Sattayatam, Pricha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Mar 31st, 2008 - about 17 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 1205814100 NPPES
Illinois MEDICAID 036048608

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