Provider Demographics
NPI:1356863468
Name:SATBIRSINGH RISAM MD PA
Entity Type:Organization
Organization Name:SATBIRSINGH RISAM MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SATBIRSINGH
Authorized Official - Middle Name:MAKHANSINGH
Authorized Official - Last Name:RISAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-261-0446
Mailing Address - Street 1:428 REMINGTON DR E
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-4002
Mailing Address - Country:US
Mailing Address - Phone:469-261-0446
Mailing Address - Fax:
Practice Address - Street 1:6200 W PARKER RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8185
Practice Address - Country:US
Practice Address - Phone:972-981-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3799207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty