| Vatsala Sastry Md Pa | |
|
15435 Cortez Blvd Brooksville FL 34613-6113 | |
| (352) 799-2294 | |
| Not Available |
| Full Name | Vatsala Sastry Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 15435 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Vatsala Sastry (OWNER/DOCTOR) |
| Authorized Official Contact | 3522792183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vatsala Sastry Md Pa 15435 Cortez Blvd Brooksville FL 34613-6113 Ph: (352) 799-2294 | Vatsala Sastry Md Pa 15435 Cortez Blvd Brooksville FL 34613-6113 Ph: (352) 799-2294 |
| NPI Number | 1811183908 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 03/06/2012 |
| Medicare PECOS PAC ID | 0042114126 |
|---|---|
| Medicare Enrollment ID | O20031120000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811183908 | NPI | - | NPPES |
| 377455402 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Vatsala S Sastry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336131481 PECOS PAC ID: 3779487863 Enrollment ID: I20120309000104 |
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