Active NPI
Kanithahalli L Satya-Prakash, PH.D.
- Medical Geneticist (PhD) Specialist/Technologist
- Gainesville, FL
National Provider Identifier
1225375199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Geneticist (PhD) Specialist/Technologist
- License
- SU 39577
- Practice address
- 106 SW 10TH St
Gainesville, FL 32601-6200 - Phone
- (352) 264-9752
- NPI assigned
- Jan 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Geneticist (PhD) Specialist/Technologist | 246ZG1000X | SU 39577 | FL | Primary |
Addresses
Primary practice location
106 SW 10TH St
Gainesville, FL 32601-6200
Mailing address
106 SW 10TH Street
Hemacon Laboratories, LLC
Gainesville, FL 32601-6200
Phone (352) 264-9752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SU 39577 | Other | FL | FLORIDA STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SU 39577 | FL | MD | Medical Geneticist (PhD) Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1225375199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 SW 10TH STREET",
"address_2": "HEMACON LABORATORIES, LLC",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326016200",
"telephone_number": "352-264-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 SW 10TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326016200",
"telephone_number": "352-264-9752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATYA-PRAKASH",
"first_name": "KANITHAHALLI",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-11",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZG1000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Geneticist, Medical (PhD)",
"state": "FL",
"license": "SU 39577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA STATE LICENSE",
"identifier": "SU 39577",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.