Provider Demographics
NPI:1346218401
Name:SATAR, WAGIH A (MD)
Entity Type:Individual
Prefix:DR
First Name:WAGIH
Middle Name:A
Last Name:SATAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 SHERMAN DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IN
Mailing Address - Zip Code:47670-1045
Mailing Address - Country:US
Mailing Address - Phone:812-385-2225
Mailing Address - Fax:812-385-2314
Practice Address - Street 1:2020 SHERMAN DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670-1045
Practice Address - Country:US
Practice Address - Phone:812-385-2225
Practice Address - Fax:812-385-2314
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01034314A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000095778OtherBC/BS PROVIDER #
IL036064073Medicaid
IN100122410AMedicaid
IN000000095778OtherBC/BS PROVIDER #
ILIL6659001Medicare PIN
IN100122410AMedicaid
IL036064073Medicaid
IN281870AMedicare PIN