Organization
ROHINI SASTRY M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROHINI SASTRY M.D. (PRESIDENT)
(352) 728-2110
Entity
Organization
Contact information
Practice address
2785 S BAY ST, EUSTIS, FL 32726-6591
(352) 728-2110
(352) 728-2115
Mailing address
1414 E MAIN ST, LEESBURG, FL 34748-5329
(352) 728-2110
(352) 728-2115
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568410900
NPI #
FL
01
—
17984Y
BC/BS
FL
Enumeration date
12/03/2007
Last updated
12/03/2007
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