Individual
SANJAY SURY SASTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
801 BEVILLE RD, SOUTH DAYTONA, FL 32119-1860
(386) 788-2300
(386) 756-1697
Mailing address
801 BEVILLE RD, SOUTH DAYTONA, FL 32119-1860
(407) 473-5525
(386) 756-1697
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
ME84820
FL
208VP0000X
Pain Medicine Physician
ME 84820
FL
Other
Enumeration date
11/07/2006
Last updated
01/29/2024
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