Provider Demographics
NPI:1528020666
Name:SATHI -WELSCH, MEERU (MD)
Entity Type:Individual
Prefix:
First Name:MEERU
Middle Name:
Last Name:SATHI -WELSCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEERU
Other - Middle Name:
Other - Last Name:SATHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 HOSPITAL RD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-8809
Mailing Address - Country:US
Mailing Address - Phone:631-475-5511
Mailing Address - Fax:631-475-5544
Practice Address - Street 1:100 HOSPITAL RD
Practice Address - Street 2:SUITE 216
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-8809
Practice Address - Country:US
Practice Address - Phone:631-475-5511
Practice Address - Fax:631-475-5544
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213679207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2242877Medicaid
H01611Medicare UPIN
70Z071Medicare ID - Type Unspecified