Provider Demographics
NPI:1760404958
Name:PAPA, SATNAM K (MD)
Entity Type:Individual
Prefix:DR
First Name:SATNAM
Middle Name:K
Last Name:PAPA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 METTAWA LANE
Mailing Address - Street 2:N500
Mailing Address - City:RIVERWOODS
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3551
Mailing Address - Country:US
Mailing Address - Phone:414-455-4780
Mailing Address - Fax:414-475-2936
Practice Address - Street 1:5 METTAWA LANE
Practice Address - Street 2:OAMRI OF OAK BROOK LLC
Practice Address - City:RIVERWOODS
Practice Address - State:IL
Practice Address - Zip Code:60015-3551
Practice Address - Country:US
Practice Address - Phone:630-850-8501
Practice Address - Fax:630-850-9872
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361117322085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036111732Medicaid
I50627Medicare UPIN
ILK32364Medicare PIN