Provider Demographics
NPI:1447212485
Name:SATPATHY, SATYAJIT (MD)
Entity Type:Individual
Prefix:
First Name:SATYAJIT
Middle Name:
Last Name:SATPATHY
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 1:848 S DENTON TAP RD
Mailing Address - Street 2:# 110
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4556
Mailing Address - Country:US
Mailing Address - Phone:972-393-5559
Mailing Address - Fax:972-393-5479
Practice Address - Street 1:848 S DENTON TAP RD
Practice Address - Street 2:# 110
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4556
Practice Address - Country:US
Practice Address - Phone:972-393-5559
Practice Address - Fax:972-393-5479
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL89412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172103702Medicaid
TX172103701Medicaid
TX8E0240Medicare ID - Type Unspecified
TX172103701Medicaid