Provider Demographics
NPI:1891791729
Name:MAGGE, SATHISH (MD)
Entity Type:Individual
Prefix:
First Name:SATHISH
Middle Name:
Last Name:MAGGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2667
Mailing Address - Country:US
Mailing Address - Phone:740-283-7597
Mailing Address - Fax:740-283-7190
Practice Address - Street 1:401 MARKET ST STE 200
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2846
Practice Address - Country:US
Practice Address - Phone:740-282-5000
Practice Address - Fax:740-282-5233
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV18557207RC0000X
PAMD047734L207RC0000X
OH35.070729207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016009930006Medicaid
WV0086460000Medicaid
OHP00999632OtherRR MEDICARE
OH0267027Medicaid
OH0804505Medicare PIN
F68830Medicare UPIN
PA420941YGC9Medicare PIN
OHH051240Medicare PIN
WVWV1004AMedicare PIN
OH0804503Medicare PIN
OH9285544Medicare PIN
OH0267027Medicaid
OH4198401Medicare PIN
PA0016009930006Medicaid
OH0804507Medicare PIN