Provider Demographics
NPI:1801060652
Name:SATTAR, SUMBAL (MD)
Entity type:Individual
Prefix:
First Name:SUMBAL
Middle Name:
Last Name:SATTAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 PARK POND WAY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7662
Mailing Address - Country:US
Mailing Address - Phone:407-530-4928
Mailing Address - Fax:407-530-4794
Practice Address - Street 1:3020 PARK POND WAY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7662
Practice Address - Country:US
Practice Address - Phone:407-530-4928
Practice Address - Fax:407-530-4794
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1046872080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology