| Ayesha Sattar Md Pllc | |
|
2524 N Broadway Edmond OK 73034-4172 | |
| (405) 509-8713 | |
| Not Available |
| Full Name | Ayesha Sattar Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2524 N Broadway, Edmond, Oklahoma |
| Authorized Official Name and Position | Ayesha Sattar (OWNER) |
| Authorized Official Contact | 4053145597 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayesha Sattar Md Pllc 2524 N Broadway Edmond OK 73034-4172 Ph: (405) 314-5597 | Ayesha Sattar Md Pllc 2524 N Broadway Edmond OK 73034-4172 Ph: (405) 509-8713 |
| NPI Number | 1629737028 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 12/13/2021 |
| Certification Date | 12/13/2021 |
| Medicare PECOS PAC ID | 8921491762 |
|---|---|
| Medicare Enrollment ID | O20220131001578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629737028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ayesha Sattar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104232768 PECOS PAC ID: 1557626181 Enrollment ID: I20180531000537 |
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