Individual
SUSHAMA JASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 N I 35 STE 111, DENTON, TX 76201-5142
(817) 759-7000
(817) 759-7024
Mailing address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 759-7000
(817) 759-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M4206
TX
207RH0003X
Hematology & Oncology Physician
Primary
M4206
TX
Other
Enumeration date
10/10/2006
Last updated
07/19/2023
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