Provider Demographics
NPI:1821612821
Name:SATISH SIVASANKARAN MD PA
Entity Type:Organization
Organization Name:SATISH SIVASANKARAN MD PA
Other - Org Name:SUNSHINE CARDIOVASCULAR & VEIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SATISH
Authorized Official - Middle Name:
Authorized Official - Last Name:SIVANSANKARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-947-3770
Mailing Address - Street 1:5340 GULF DR STE 101
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-3922
Mailing Address - Country:US
Mailing Address - Phone:727-947-3770
Mailing Address - Fax:
Practice Address - Street 1:5340 GULF DR STE 101
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-3922
Practice Address - Country:US
Practice Address - Phone:727-947-3770
Practice Address - Fax:866-981-2680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0000268830103OtherUNITED HEALTHCARE
FL92685OtherBCBS
FL4220829OtherAETNA