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NPI Code Detail

MEDICARE: SOWMYA JASTI

MEDICARE: SOWMYA JASTI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA208134CA

General Provider Information

NPI Number : 1144925447
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOWMYA JASTI
Provider Business Mailing Address
First Line : 747 52ND ST STE 245
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1809
Country : US
Telephone Number : 510-428-3331
Fax Number :
Provider Business Practice Location Address
First Line : 747 52ND ST STE 245
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1809
Country : US
Telephone Number : 510-428-3331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2023
Last Update Date : 03/23/2026

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Directions to “ SOWMYA JASTI ” Practice Location

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