Provider Demographics
NPI:1386659837
Name:T. K. SATYA, M.D., P.A.
Entity Type:Organization
Organization Name:T. K. SATYA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:T.
Authorized Official - Middle Name:K
Authorized Official - Last Name:SATYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-387-4626
Mailing Address - Street 1:3231 GULF GATE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-2406
Mailing Address - Country:US
Mailing Address - Phone:941-387-4626
Mailing Address - Fax:941-922-6396
Practice Address - Street 1:3231 GULF GATE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-2406
Practice Address - Country:US
Practice Address - Phone:941-924-1193
Practice Address - Fax:941-922-0858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2018-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85461207N00000X, 207ND0101X
FLME20401207RC0000X
FLME81682207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL052592800Medicaid