Provider Demographics
NPI:1821124280
Name:SATER, NICOLA C W (MD)
Entity Type:Individual
Prefix:DR
First Name:NICOLA
Middle Name:C W
Last Name:SATER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NICOLA
Other - Middle Name:CATHERINE
Other - Last Name:SATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5413 W CEDAR LN
Mailing Address - Street 2:SUITE 206C
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1520
Mailing Address - Country:US
Mailing Address - Phone:301-897-4964
Mailing Address - Fax:301-897-0777
Practice Address - Street 1:5413 W CEDAR LN
Practice Address - Street 2:SUITE 206C
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1520
Practice Address - Country:US
Practice Address - Phone:301-897-4964
Practice Address - Fax:301-897-0777
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00575032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH50847Medicare UPIN
MD743RMedicare PIN