Individual
SRIDHARA SASTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME46263
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03864
BCBS OF FL
FL
05
—
045861900
—
FL
Enumeration date
09/06/2006
Last updated
10/15/2009
Update your record
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