Provider Demographics
NPI:1790781771
Name:SATYA, YEMUNA EMMY (MD)
Entity Type:Individual
Prefix:DR
First Name:YEMUNA
Middle Name:EMMY
Last Name:SATYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EMMY
Other - Middle Name:
Other - Last Name:SATYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2675 WINKLER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:877-856-3774
Mailing Address - Fax:
Practice Address - Street 1:3231 GULF GATE DR STE 101
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-2406
Practice Address - Country:US
Practice Address - Phone:941-922-6447
Practice Address - Fax:941-922-6396
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81682207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001202100Medicaid
BS7251060OtherDEA
FL001202100Medicaid
FL01653ZMedicare ID - Type Unspecified
FL1386659837OtherGROUP NPI
BS7251060OtherDEA