Provider Demographics
NPI:1750430484
Name:SATTLER, RAYMOND LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:LOUIS
Last Name:SATTLER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1483 CHAIN BRIDGE RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-5703
Mailing Address - Country:US
Mailing Address - Phone:703-734-0055
Mailing Address - Fax:703-734-1919
Practice Address - Street 1:1483 CHAIN BRIDGE RD
Practice Address - Street 2:SUITE 305
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-5703
Practice Address - Country:US
Practice Address - Phone:703-734-0055
Practice Address - Fax:703-734-1919
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012329462084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC86300Medicare UPIN