Basic Information
Provider Information
NPI: 1336598150
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SATTARIN
FirstName: ARASH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4000 CAMBRIDGE 6040 DELP MS 1020
Address2:  
City: KANSAS CITY
State: KS
PostalCode: 661600001
CountryCode: US
TelephoneNumber: 9135885165
FaxNumber: 9135883877
Practice Location
Address1: KUMC IMRESIDENCY PROGRAM
Address2: 3901 RAINBOW BLVD, MS 2027
City: KANSAS CITY
State: KS
PostalCode: 661600001
CountryCode: US
TelephoneNumber: 9135883974
FaxNumber: 9135880593
Other Information
ProviderEnumerationDate: 06/13/2016
LastUpdateDate: 07/01/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X94-09037KSY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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