Individual provider · Type 1 NPI
Susumu - Sato, MD
Military Health Care Provider · Washington, DC
NPI number
1124036967
Active
Practice location
Walter Reed Army Medical Center Att Mchl-Mao-C, 6900 Georgia Avenue, NW
Washington, DC 20307-0001
Mailing address
12213 Red Church Ct
Potomac, MD 20854-2159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | D0033408 (MD) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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About NPI 1124036967
Susumu - Sato, MD's National Provider Identifier is 1124036967, issued on Aug 4, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Washington, DC. The record was last updated on Jul 8, 2007.