Provider Demographics
NPI:1477524262
Name:DANG, SATPAL S
Entity Type:Individual
Prefix:DR
First Name:SATPAL
Middle Name:S
Last Name:DANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ST HELENA AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21222-4217
Mailing Address - Country:US
Mailing Address - Phone:410-282-8611
Mailing Address - Fax:410-285-0839
Practice Address - Street 1:101 ST HELENA AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-4217
Practice Address - Country:US
Practice Address - Phone:410-282-8611
Practice Address - Fax:410-285-0839
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0017202174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD411041200Medicaid
D01273Medicare UPIN
MD411041200Medicaid