Individual ProviderNikita SatapathyStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address18701 N 67th Ave, Glendale, AZ 85308-7100(623) 561-1000(623) 203-2920PECOS EnrollmentBased on the most recent information from CMS, provider Nikita Satapathy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:10 PM.Profile DetailsProvider ID1710564752Provider TypeIndividualFull NameSatapathy, NikitaCredentialDOGenderFemaleSole ProprietorYesEnumeration Date3/25/2021Last Updated3/25/2021Contact InformationPractice LocationPractice Address18701 N 67th Ave, Glendale, AZ 85308-7100Phone(623) 561-1000FaxUnlisted FaxMailing LocationMailing Address7790 W Questa Dr, Peoria, AZ 85383-1872Phone(623) 203-2920FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer