Provider Demographics
NPI:1811000904
Name:ANKALIKAR, SATISH P
Entity Type:Individual
Prefix:DR
First Name:SATISH
Middle Name:P
Last Name:ANKALIKAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5225 EHRLICH RD STE A
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-2066
Mailing Address - Country:US
Mailing Address - Phone:813-963-3111
Mailing Address - Fax:813-961-9043
Practice Address - Street 1:5225 EHRLICH RD STE A
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2066
Practice Address - Country:US
Practice Address - Phone:813-963-3111
Practice Address - Fax:813-961-9043
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL91491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice