Individual
INDIRA SASTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1666 E BERT KOUNS LOOP, SUITE 225, SHREVEPORT, LA 71105-5714
(318) 797-7696
(318) 797-3836
Mailing address
2533 BERT KOUNS INDUSTRIAL LOOP 106, SHREVEPORT, LA 71118-3158
(318) 212-5976
(318) 212-5986
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
10916R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1650366
—
LA
Enumeration date
09/20/2005
Last updated
09/30/2015
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