Individual
SRI LAKSHMI JASTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 N MAIN ST, KENANSVILLE, NC 28349-8801
(910) 296-8880
(910) 296-2700
Mailing address
401 N MAIN ST, KENANSVILLE, NC 28349-8801
(910) 296-8880
(910) 296-2700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD425326
PA
207RH0003X
Hematology & Oncology Physician
Primary
MD425326
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821230210
NPI
—
Enumeration date
03/31/2009
Last updated
01/07/2022
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