Provider Demographics
NPI:1093872483
Name:SATHI, BINDU KANATHEZHATH (MD)
Entity Type:Individual
Prefix:DR
First Name:BINDU
Middle Name:KANATHEZHATH
Last Name:SATHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:BINDU
Other - Middle Name:
Other - Last Name:KANATHEZHATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7210 MURRAY DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95210-3339
Mailing Address - Country:US
Mailing Address - Phone:209-373-2816
Mailing Address - Fax:209-373-2873
Practice Address - Street 1:7210 MURRAY DR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-3339
Practice Address - Country:US
Practice Address - Phone:209-373-2816
Practice Address - Fax:209-373-2873
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA886242080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A886240Medicaid