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Provider Information for 1659503480


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VINAYAK SATHE MD


Sex: Male

NPI: 1659503480
Last Updated: 2022-09-28
Certification Date:

Details

NameValue
NPI1659503480
Enumeration Date2009-08-12
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 263 FARMINGTON AVE
PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
United States

Phone: 860-679-7503 | Fax:860-679-1610
 
Primary Practice Address 263 FARMINGTON AVE
ORTHOPAEDICS
FARMINGTON, CT 06030-4038
United States

Phone: 860-679-6600 | Fax:860-679-6604
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Direct Messaging Address
vsathe6569@direct.med.uchc.edu
Uconn Medical Group
Farmington, CT 06030-0001
United States
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCT1659503480
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 207XX0004X - Orthopaedic Surgery - Foot and Ankle SurgeryCT049056
No 207XX0005X - Orthopaedic Surgery - Sports MedicineCT049056
Yes 207X00000X - Orthopaedic Surgery CT049056