Provider Demographics
NPI:1073825071
Name:SAMPATHI, VENKATA SATISH KUMAR (MBBS)
Entity Type:Individual
Prefix:DR
First Name:VENKATA
Middle Name:SATISH KUMAR
Last Name:SAMPATHI
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Gender:M
Credentials:MBBS
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Mailing Address - Street 1:163 INTREPID LANE
Mailing Address - Street 2:UPSTATE MEDICAL ANESTHESIOLOGY GROUP, INC.
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13205-2548
Mailing Address - Country:US
Mailing Address - Phone:315-469-1130
Mailing Address - Fax:315-469-1134
Practice Address - Street 1:750 E. ADAMS ST
Practice Address - Street 2:UPSTATE MEDICAL UNIVERSITY
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1834
Practice Address - Country:US
Practice Address - Phone:315-469-1130
Practice Address - Fax:315-469-1134
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
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Provider Licenses
StateLicense IDTaxonomies
NY003574207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology