Provider Demographics
NPI:1295272888
Name:SATTAR, ASIF (CNIM)
Entity type:Individual
Prefix:
First Name:ASIF
Middle Name:
Last Name:SATTAR
Suffix:
Gender:
Credentials:CNIM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4877 CASTLEBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-6133
Mailing Address - Country:US
Mailing Address - Phone:443-472-0497
Mailing Address - Fax:443-656-9967
Practice Address - Street 1:4877 CASTLEBRIDGE RD
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-6133
Practice Address - Country:US
Practice Address - Phone:443-472-0497
Practice Address - Fax:443-656-9967
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-20
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic