Provider Demographics
NPI:1578925863
Name:SATTAR, ASAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ASAD
Middle Name:
Last Name:SATTAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ASAD
Other - Middle Name:
Other - Last Name:SATTAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1650 N ROBERTS RD NW APT 3402
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-3785
Mailing Address - Country:US
Mailing Address - Phone:407-437-3479
Mailing Address - Fax:
Practice Address - Street 1:489 STATE ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6616
Practice Address - Country:US
Practice Address - Phone:407-437-3479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD23282207R00000X
GA-208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine