Individual
SUNITA DWIVEDY NASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-5127
(215) 615-5858
(215) 349-8144
Mailing address
3400 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-5127
(215) 615-5858
(215) 349-8144
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
MD073950L
PA
207RH0003X
Hematology & Oncology Physician
Primary
MD073950L
PA
207RX0202X
Medical Oncology Physician
MD073950L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00185612
—
PA
Enumeration date
06/10/2006
Last updated
03/27/2012
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