MEDICARE: SHARIQ SATTAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036125007	IL
2	207R00000X	Internal Medicine Physician	35.89272	OH
3	207R00000X	Internal Medicine Physician	MD432937	PA
4	207R00000X	Internal Medicine Physician	Q4840	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376757609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARIQ SATTAR MD

Provider Business Mailing Address
First Line	:	1351 N ZARAGOZA RD BLDG F
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7902
Country	:	US
Telephone Number	:	915-202-4469
Fax Number	:

Provider Business Practice Location Address
First Line	:	1351 N ZARAGOZA RD BLDG F
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7902
Country	:	US
Telephone Number	:	915-202-4469
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	08/23/2024

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Directions to “ SHARIQ SATTAR MD” Practice Location

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