Provider Demographics
NPI:1871862748
Name:SATTAR, ARIFA RABIA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ARIFA
Middle Name:RABIA
Last Name:SATTAR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2900 S HANOVER ST STE 105
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-1232
Mailing Address - Country:US
Mailing Address - Phone:410-350-2663
Mailing Address - Fax:410-350-2664
Practice Address - Street 1:2900 S HANOVER ST STE 105
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1232
Practice Address - Country:US
Practice Address - Phone:410-350-2663
Practice Address - Fax:410-350-2664
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDC0004635363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical