Basic Information
Provider Information
NPI: 1972923035
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAITES
FirstName: VICTORIA
MiddleName: ANNE
NamePrefix:  
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Credential:  
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Mailing Information
Address1: 3801 MARKET ST STE 211
Address2: MEDICAL ARTS BUILDING, PENN PRESBYTERIAN MEDICAL CENTER
City: PHILADELPHIA
State: PA
PostalCode: 191043153
CountryCode: US
TelephoneNumber: 2156629664
FaxNumber:  
Practice Location
Address1: UK HEALTHCARE
Address2: 800 ROSE STREET
City: LEXINGTON
State: KY
PostalCode: 405360284
CountryCode: US
TelephoneNumber: 8593235956
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/16/2014
LastUpdateDate: 08/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP3000XA155099CAN Allopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207LP3000XTP601KYY Allopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology

No ID Information.


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