Provider Demographics
NPI:1255332649
Name:SARANGI, SATYAJIT (MD)
Entity Type:Individual
Prefix:
First Name:SATYAJIT
Middle Name:
Last Name:SARANGI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 AUGUSTINE CUT OFF
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-4415
Mailing Address - Country:US
Mailing Address - Phone:302-652-3016
Mailing Address - Fax:302-571-6270
Practice Address - Street 1:1701 AUGUSTINE CUT OFF
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-4415
Practice Address - Country:US
Practice Address - Phone:302-652-3016
Practice Address - Fax:302-571-6270
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100060192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H53411Medicare UPIN
008783P25Medicare ID - Type Unspecified