Provider Demographics
NPI:1083679237
Name:ROBERT SADATY, MD PA
Entity type:Organization
Organization Name:ROBERT SADATY, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:SADATY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-777-2601
Mailing Address - Street 1:P.O. BOX 112559
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-0143
Mailing Address - Country:US
Mailing Address - Phone:941-270-3114
Mailing Address - Fax:423-295-9320
Practice Address - Street 1:14305 COLLIR BOULEVARD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-9589
Practice Address - Country:US
Practice Address - Phone:941-270-3114
Practice Address - Fax:423-295-9320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDD9506OtherMCR RR
FL264718400Medicaid
FL264718400Medicaid
FL264718400Medicaid