Provider Demographics
NPI:1518079813
Name:SATOW, GREGG K (M D)
Entity Type:Individual
Prefix:
First Name:GREGG
Middle Name:K
Last Name:SATOW
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:395 DEL MONTE CTR # 360
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6156
Mailing Address - Country:US
Mailing Address - Phone:831-657-0111
Mailing Address - Fax:831-656-1202
Practice Address - Street 1:1900 GARDEN RD STE 120
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5334
Practice Address - Country:US
Practice Address - Phone:831-657-0111
Practice Address - Fax:831-656-1202
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG61225207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E80909Medicare UPIN
CAZZZ03342ZMedicare PIN