Provider Demographics
NPI:1588629232
Name:MADKAIKER, SATYEN P (MD)
Entity Type:Individual
Prefix:DR
First Name:SATYEN
Middle Name:P
Last Name:MADKAIKER
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 24330
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32241-4330
Mailing Address - Country:US
Mailing Address - Phone:904-880-8840
Mailing Address - Fax:904-880-1994
Practice Address - Street 1:3685 CROWN POINT CT
Practice Address - Street 2:SUITE 3
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257
Practice Address - Country:US
Practice Address - Phone:904-880-8840
Practice Address - Fax:904-880-1994
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME831392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL262290400Medicaid
FLE6273BMedicare ID - Type Unspecified
FL262290400Medicaid
FLP00439620Medicare PIN
FLG50475Medicare UPIN