Organization
MAYA SASTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYA SASTRY M.D (PSYCHIATRIST)
(510) 796-2579
Entity
Organization
Contact information
Practice address
39001 SUNDALE DR, FREMONT, CA 94538-2005
(510) 796-1100
(510) 796-2589
Mailing address
39039 PASEO PADRE PKWY, 204, FREMONT, CA 94538-1620
(510) 796-2579
(510) 796-2589
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
A697341
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A697341
—
CA
Enumeration date
05/15/2007
Last updated
07/13/2007
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