Provider Demographics
NPI:1982662938
Name:GIRI, SATYENDRA (MD)
Entity Type:Individual
Prefix:
First Name:SATYENDRA
Middle Name:
Last Name:GIRI
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 1:94220 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GOLD BEACH
Mailing Address - State:OR
Mailing Address - Zip Code:97444-7756
Mailing Address - Country:US
Mailing Address - Phone:541-247-3910
Mailing Address - Fax:541-247-3109
Practice Address - Street 1:94220 4TH ST
Practice Address - Street 2:
Practice Address - City:GOLD BEACH
Practice Address - State:OR
Practice Address - Zip Code:97444-7756
Practice Address - Country:US
Practice Address - Phone:541-247-3910
Practice Address - Fax:541-247-3109
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD160533207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR119263OtherCURRY HEALTH DISTRICT MEDICAID
OR161133OtherGROUP MEDICAID NORTH BEND MEDICAL CENTER
OR207R10011XOtherINTERVENTIONAL CARDIOLOGY TAXONOMY
OR1487696985OtherCURRY HEALTH DISTRICT NPI
ORP01220510OtherRAILROAD MEDICARE
OR500656198Medicaid
ORR0000ZGBDGOtherCURRY HEALTH DISTRICT MEDICARE
OR930937095OtherCURRY HEALTH DISTRICT TAX I.D.
ORR169471Medicare PIN