Provider Demographics
NPI:1710986336
Name:SATALOFF, DAHLIA G (MD)
Entity Type:Individual
Prefix:
First Name:DAHLIA
Middle Name:G
Last Name:SATALOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DAHLIA
Other - Middle Name:M
Other - Last Name:MISHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:700 SPRUCE ST., SUITE B 03
Mailing Address - Street 2:PENNSYLVANIA HOSPITAL
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106
Mailing Address - Country:US
Mailing Address - Phone:215-829-8461
Mailing Address - Fax:215-829-8462
Practice Address - Street 1:700 SPRUCE ST., SUITE B 03
Practice Address - Street 2:PENNSYLVANIA HOSPITAL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106
Practice Address - Country:US
Practice Address - Phone:215-829-8461
Practice Address - Fax:215-829-8462
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023039E208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009890600003Medicaid
PA452667Medicare PIN
B41978Medicare UPIN