Organization
VATSALA SASTRY MD PA
Active
Organization
VATSALA SASTRY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VATSALA SASTRY M.D. (OWNER/DOCTOR)
(352) 279-2183
Entity
Organization
Contact information
Practice address
15435 CORTEZ BLVD, BROOKSVILLE, FL 34613-6113
(352) 799-2294
Mailing address
15435 CORTEZ BLVD, BROOKSVILLE, FL 34613-6113
(352) 799-2294
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377455402
—
FL
Enumeration date
09/21/2007
Last updated
03/06/2012
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