Provider Demographics
NPI:1821050444
Name:SATCHIDANAND, YASHODHARA K (MD)
Entity Type:Individual
Prefix:
First Name:YASHODHARA
Middle Name:K
Last Name:SATCHIDANAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 SPINDRIFT DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7889
Mailing Address - Country:US
Mailing Address - Phone:716-810-9167
Mailing Address - Fax:716-276-3844
Practice Address - Street 1:45 SPINDRIFT DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7889
Practice Address - Country:US
Practice Address - Phone:716-810-9167
Practice Address - Fax:716-276-3844
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128749207LH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LH0002XAllopathic & Osteopathic PhysiciansAnesthesiologyHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01842653Medicaid
NYJ400005241Medicare PIN
NY01842653Medicaid