Provider Demographics
NPI:1851529671
Name:MANTRIPRAGADA, SATYA NAGA S S (MD)
Entity Type:Individual
Prefix:
First Name:SATYA NAGA
Middle Name:S S
Last Name:MANTRIPRAGADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 HOWE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-4732
Mailing Address - Country:US
Mailing Address - Phone:916-924-9337
Mailing Address - Fax:916-924-8281
Practice Address - Street 1:650 HOWE AVE STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-4732
Practice Address - Country:US
Practice Address - Phone:916-924-9337
Practice Address - Fax:916-924-8281
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012-01343208000000X
CAC153675208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4015446OtherCOVENTRY NATIONAL - COVENTRY PPO
NC13047605OtherPHCS-MULTIPLAN
NC1355744OtherCOVENTRY OF THE CAROLINAS
NC1851529671OtherHEALTHNET FEDERAL SERVICES
NC1851529671OtherHEALTHSMART
NC3500399OtherUNITED HEALTHCARE
NC1851529671OtherHUMANA
NC3365945OtherCIGNA GREATWEST
NC1851529671Medicaid
NC254156OtherMEDCOST, LLC
NC9829880OtherAETNA
NCFH1101545OtherFIRST CAROLINA CARE
NC174GTOtherBCBS OF NC
NC1851529671OtherDOCTORS DIRECT
NC1355744OtherWELLPATH