Individual
DR. ROHINI SASTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1414 EAST MAIN STREET, SUITE 3, LEESBURG, FL 34748
(352) 728-2110
(352) 728-2115
Mailing address
1414 EAST MAIN STREET, SUITE 3, LEESBURG, FL 34748
(352) 728-2110
(352) 728-2115
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME 62040
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME62040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17984
BLUE SHIELD PROV #
FL
Enumeration date
05/05/2006
Last updated
12/01/2009
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