Basic Information
Provider Information
NPI: 1811226350
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SATYAN
FirstName: KRISHNA
MiddleName: BINDIGANAVALE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 762 S CLEVELAND MASSILLON RD
Address2:  
City: FAIRLAWN
State: OH
PostalCode: 443333024
CountryCode: US
TelephoneNumber: 3306654100
FaxNumber: 3306654190
Practice Location
Address1: 762 S CLEVELAND MASSILLON RD
Address2:  
City: FAIRLAWN
State: OH
PostalCode: 443333024
CountryCode: US
TelephoneNumber: 3306654100
FaxNumber: 3306654190
Other Information
ProviderEnumerationDate: 12/11/2009
LastUpdateDate: 09/15/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000XBP10016992TXY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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