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Individual

DASIKA SASTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1650 HUNTINGDON PIKE, SUITE 311, MEADOWBROOK, PA 19046-8004
(215) 947-5345
(215) 947-6961
Mailing address
1650 HUNTINGDON PIKE, SUITE 311, MEADOWBROOK, PA 19046-8004
(215) 947-5345
(215) 947-6961

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD034337L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120955
PA BLUE SHIELD
PA
Enumeration date
08/09/2005
Last updated
08/17/2007
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