Provider Demographics
NPI:1568665164
Name:SATHY, ASHOKE KASYAP (MD)
Entity Type:Individual
Prefix:
First Name:ASHOKE
Middle Name:KASYAP
Last Name:SATHY
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:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-3203
Mailing Address - Country:US
Mailing Address - Phone:214-645-0624
Mailing Address - Fax:214-645-0078
Practice Address - Street 1:4900 HARRY HINES BLVD FL 2
Practice Address - Street 2:DEPT OF ORTHOPAEDIC SURGERY
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7719
Practice Address - Country:US
Practice Address - Phone:214-590-9818
Practice Address - Fax:214-590-2773
Is Sole Proprietor?:No
Enumeration Date:2007-06-09
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1128207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L18608OtherMEDICARE