Provider Demographics
NPI:1003137951
Name:FARHAD SATERI MD PA
Entity type:Organization
Organization Name:FARHAD SATERI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FARHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SATERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-848-4450
Mailing Address - Street 1:295 STONER AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5688
Mailing Address - Country:US
Mailing Address - Phone:410-848-4450
Mailing Address - Fax:410-857-2850
Practice Address - Street 1:295 STONER AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5688
Practice Address - Country:US
Practice Address - Phone:410-848-4450
Practice Address - Fax:410-857-2850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD26855174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD544311300Medicaid
MD544311300Medicaid
MDE17159Medicare UPIN