Provider Demographics
NPI:1528047438
Name:KANTE, SATYANARAYANA PRASAD (MD)
Entity type:Individual
Prefix:DR
First Name:SATYANARAYANA
Middle Name:PRASAD
Last Name:KANTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 DORAL DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-5468
Mailing Address - Country:US
Mailing Address - Phone:409-840-5585
Mailing Address - Fax:409-840-5585
Practice Address - Street 1:8015 DORAL DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-5468
Practice Address - Country:US
Practice Address - Phone:409-840-5585
Practice Address - Fax:409-840-5585
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1814207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I46870Medicare UPIN
TX8G2121Medicare ID - Type Unspecified