Basic Information
Provider Information
NPI: 1619322419
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOHITE
FirstName: SATYAJIT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D., M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1025 MARSH ST
Address2:  
City: MANKATO
State: MN
PostalCode: 560014752
CountryCode: US
TelephoneNumber: 5076254031
FaxNumber:  
Practice Location
Address1: 1025 MARSH ST
Address2:  
City: MANKATO
State: MN
PostalCode: 560014752
CountryCode: US
TelephoneNumber: 5076254031
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/29/2016
LastUpdateDate: 09/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X66547MNY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


Home