Provider Demographics
NPI:1720078181
Name:SARTORI, MICHELE P (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:P
Last Name:SARTORI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2308
Mailing Address - Country:US
Mailing Address - Phone:713-797-1330
Mailing Address - Fax:713-797-9821
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2308
Practice Address - Country:US
Practice Address - Phone:713-797-1330
Practice Address - Fax:713-797-9821
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6945207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD01WMedicaid
TXE18143Medicare UPIN
TXD01WMedicare ID - Type Unspecified