Individual
DR. ASHOK DATTU SASTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1921 WALDEMERE ST, SUITE 413, SARASOTA, FL 34239-2943
(941) 917-6585
(941) 917-6514
Mailing address
1921 WALDEMERE ST, SUITE 413, SARASOTA, FL 34239-2943
(941) 917-6585
(941) 917-6514
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME95950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275834200
—
FL
01
—
53338
BLUE CROSS BLUE SHEILD OF FLORIDA
FL
01
—
ME95950
FL MEDICAL LICENSE
FL
Enumeration date
06/10/2006
Last updated
05/14/2008
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