1700821063 NPI number — DR. SATISH KUMAR SOLANKI M.D.

Table of content: AMY MARTINEZ (NPI 1497165666)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700821063 NPI number — DR. SATISH KUMAR SOLANKI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SOLANKI
Provider First Name:
SATISH
Provider Middle Name:
KUMAR
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700821063
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2845 CAPITAL AVE SW
Provider Second Line Business Mailing Address:
SUITE 302
Provider Business Mailing Address City Name:
BATTLE CREEK
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49015-4185
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
269-979-6333
Provider Business Mailing Address Fax Number:
269-979-6335

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
363 FREMONT ST STE 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATTLE CREEK
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49017-3398
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-245-8208
Provider Business Practice Location Address Fax Number:
269-245-8209
Provider Enumeration Date:
06/19/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  4301072879 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: 4301072879 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RR0500X , with the licence number: 4301072879 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3487090 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".