Provider Demographics
NPI:1598786055
Name:SATLOFF, LEWIS M (MD)
Entity type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:M
Last Name:SATLOFF
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 1:363 N DETROIT ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-2530
Mailing Address - Country:US
Mailing Address - Phone:239-222-1474
Mailing Address - Fax:
Practice Address - Street 1:16260 S RANCHO SAHUARITA BLVD
Practice Address - Street 2:
Practice Address - City:SAHUARITA
Practice Address - State:AZ
Practice Address - Zip Code:85629-0047
Practice Address - Country:US
Practice Address - Phone:520-416-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG65170207L00000X, 207LP3000X
AZ17470207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP01068439Medicare PIN
CABX310YMedicare PIN
CABX310ZMedicare PIN