MEDICARE: MAYA SASI M.D.

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
1	207ZP0007X	Molecular Genetic Pathology (Pathology) Physician	017253	ME
2	207ZH0000X	Hematology (Pathology) Physician	017253	ME
3	207ZP0213X	Pediatric Pathology Physician	017253	ME
4	207ZP0101X	Anatomic Pathology Physician	017253	ME
5	207ZB0001X	Blood Banking & Transfusion Medicine Physician	017253	ME
6	207ZM0300X	Medical Microbiology Physician	017253	ME
7	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	L9890	TX
8	207ZC0500X	Cytopathology Physician	017253	ME
9	207ZN0500X	Neuropathology Physician	017253	ME
10	207ZI0100X	Immunopathology Physician	017253	ME
11	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	017253	ME
12	207ZF0201X	Forensic Pathology Physician	017253	ME
13	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	017253	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699783365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYA SASI M.D.

Provider Business Mailing Address
First Line	:	300 PROFESSIONAL DR
Second Line	:
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-8433
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-4518
Country	:	US
Telephone Number	:	529-992-5623
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	04/23/2026

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Directions to “ MAYA SASI M.D.” Practice Location

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