Provider Demographics
NPI:1134378375
Name:RAMIAH, SATYA N (DO)
Entity type:Individual
Prefix:DR
First Name:SATYA
Middle Name:N
Last Name:RAMIAH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8558 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-7032
Mailing Address - Country:US
Mailing Address - Phone:193-927-0842
Mailing Address - Fax:219-703-6854
Practice Address - Street 1:1500 S LAKE PARK AVE
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:IN
Practice Address - Zip Code:46342-6638
Practice Address - Country:US
Practice Address - Phone:219-947-6960
Practice Address - Fax:219-947-6961
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02003825A2084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201023300Medicaid
IN000000988344OtherBCBS
IN261970033OtherMEDICARE PTAN
MI74460882Medicare PIN
IN261970033Medicare PIN