Provider Demographics
NPI:1437270550
Name:SATYADEV, RADHA (MD)
Entity type:Individual
Prefix:MRS
First Name:RADHA
Middle Name:
Last Name:SATYADEV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10718 PLUMAS WAY
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-4304
Mailing Address - Country:US
Mailing Address - Phone:714-730-7272
Mailing Address - Fax:714-730-1114
Practice Address - Street 1:2601 CAMPUS DRIVE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612
Practice Address - Country:US
Practice Address - Phone:949-788-9161
Practice Address - Fax:949-754-9330
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67908207ZP0102X, 207ZH0000X, 207ZP0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
No207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology