Provider Demographics
NPI:1811187248
Name:SACATO PEDIATRICTS PC
Entity Type:Organization
Organization Name:SACATO PEDIATRICTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SACATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-820-1951
Mailing Address - Street 1:5555 COLUMBIA PIKE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-5852
Mailing Address - Country:US
Mailing Address - Phone:703-820-1951
Mailing Address - Fax:703-820-1952
Practice Address - Street 1:5555 COLUMBIA PIKE
Practice Address - Street 2:SUITE 209
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-5852
Practice Address - Country:US
Practice Address - Phone:703-820-1951
Practice Address - Fax:703-820-1952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101232032208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty