Basic Information
| Provider Information | |||||||||
| NPI: | 1760902522 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SATISH R VADAPALLI MD INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7230 MEDICAL CENTER DR STE 501 | ||||||||
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| City: | WEST HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913074029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183487253 | ||||||||
| FaxNumber: | 8183487012 | ||||||||
| Practice Location | |||||||||
| Address1: | 3008 SILLECT AVE STE 100 | ||||||||
| Address2: | |||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933086360 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613817222 | ||||||||
| FaxNumber: | 6618462447 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2017 | ||||||||
| LastUpdateDate: | 03/13/2018 | ||||||||
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| AuthorizedOfficialLastName: | CARMONA | ||||||||
| AuthorizedOfficialFirstName: | CHRISTOPHER | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF OPERATION OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 8183487253 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207YX0602X | G871757 | CA | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Otolaryngology | Otolaryngic Allergy | 207YP0228X | G81757 | CA | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Otolaryngology | Pediatric Otolaryngology |
No ID Information.