She specializes in pediatric environmental medicine and practices general pediatrics at Harborview Medical Center in Seattle, Washington. Her research interests focus on exposures to endocrine disrupting chemicals including phthalates and bisphenol A and their impact on reproductive development. In addition, she has given several invited talks on endocrine disruptors and their potential impact on human health. Currently, Dr. Sathyanarayana is the center director and clinical director for The Infant Development and Environment Study (TIDES) which is a multi-center cohort study of phthalate exposures in pregnancy and health outcomes in children.