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NPI Code Detail

MEDICARE: SAHANA LAKSHMI SASTRY DO

MEDICARE: SAHANA LAKSHMI SASTRY DO
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 PhysicianOS025756PA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1730876400
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAHANA LAKSHMI SASTRY DO
Provider Business Mailing Address
First Line : 160 E ERIE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-1011
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 160 E ERIE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-1011
Country : US
Telephone Number : 215-427-3768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2023
Last Update Date : 05/26/2026

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