Healthcare Provider Details

I. General information

NPI: 1013014562
Provider Name (Legal Business Name): FRANK GREGORY SATKO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4805 ORIOLE DR
CHESAPEAKE VA
23321-1276
US

IV. Provider business mailing address

4805 ORIOLE DR
CHESAPEAKE VA
23321-1276
US

V. Phone/Fax

Practice location:
  • Phone: 757-488-1306
  • Fax:
Mailing address:
  • Phone: 757-488-1306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number0101024136
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: