1851495071 NPI number — DR. SATHYA N ASWATHAPPA MD

Table of content: DR. SATHYA N ASWATHAPPA MD (NPI 1851495071)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851495071 NPI number — DR. SATHYA N ASWATHAPPA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASWATHAPPA
Provider First Name:
SATHYA
Provider Middle Name:
N
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1851495071
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
615 6TH AVENUE
Provider Second Line Business Mailing Address:
PEDIATRIC HEALTHCARE ASSOCIATES
Provider Business Mailing Address City Name:
ALTOONA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16602
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-944-7383
Provider Business Mailing Address Fax Number:
814-944-7608

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
615 6TH AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALTOONA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-944-7383
Provider Business Practice Location Address Fax Number:
814-944-7608
Provider Enumeration Date:
09/08/2006

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: 208000000X , with the licence number:  MD059445L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0015890180001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 075601 . This is a "MED" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 21262 . This is a "GEISINGER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 868025 . This is a "BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 203245 . This is a "UPMC BEST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P0000894 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 34161 . This is a "HEALTH ASSUR" identifier . This identifiers is of the category "OTHER".




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