Provider Demographics
NPI:1518027176
Name:SATYADEO, MEERA H (PA)
Entity Type:Individual
Prefix:
First Name:MEERA
Middle Name:H
Last Name:SATYADEO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:LEONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07605-1411
Mailing Address - Country:US
Mailing Address - Phone:718-583-0600
Mailing Address - Fax:718-731-5317
Practice Address - Street 1:SATP UNIT III
Practice Address - Street 2:2005 JEROME AVENUE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453
Practice Address - Country:US
Practice Address - Phone:718-583-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001969363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant