Basic Information
| Provider Information | |||||||||
| NPI: | 1982662938 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GIRI | ||||||||
| FirstName: | SATYENDRA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 94220 4TH ST | ||||||||
| Address2: | |||||||||
| City: | GOLD BEACH | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974447756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5412473910 | ||||||||
| FaxNumber: | 5412473109 | ||||||||
| Practice Location | |||||||||
| Address1: | 94220 4TH ST | ||||||||
| Address2: | |||||||||
| City: | GOLD BEACH | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974447756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5412473910 | ||||||||
| FaxNumber: | 5412473109 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2006 | ||||||||
| LastUpdateDate: | 10/19/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/19/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0011X | MD160533 | OR | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | 207RC0000X | MD160533 | OR | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 119263 | 01 | OR | CURRY HEALTH DISTRICT MEDICAID | OTHER | 161133 | 01 | OR | GROUP MEDICAID NORTH BEND MEDICAL CENTER | OTHER | 207R10011X | 01 | OR | INTERVENTIONAL CARDIOLOGY TAXONOMY | OTHER | 1487696985 | 01 | OR | CURRY HEALTH DISTRICT NPI | OTHER | P01220510 | 01 | OR | RAILROAD MEDICARE | OTHER | 500656198 | 05 | OR | MEDICAID | R0000ZGBDG | 01 | OR | CURRY HEALTH DISTRICT MEDICARE | OTHER | 930937095 | 01 | OR | CURRY HEALTH DISTRICT TAX I.D. | OTHER |