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1881845634

NPI Code Detail

MEDICARE: DR. BEENA SATTAR MD

MEDICARE: DR. BEENA 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	MD18577	ME
2	207R00000X	Internal Medicine Physician	Q4274	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881845634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEENA SATTAR MD

Provider Business Mailing Address
First Line	:	1133 JOHN FREEMAN BLVD, JJL S80
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-500-6714
Fax Number	:	713-500-6722

Provider Business Practice Location Address
First Line	:	11476 SPACE CENTER BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-3656
Country	:	US
Telephone Number	:	713-486-6200
Fax Number	:	713-486-6294

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

Provider Enumeration Date	:	10/09/2008
Last Update Date	:	10/31/2024

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Directions to “ DR. BEENA SATTAR MD” Practice Location

Language	Start Address	Practice Location

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