Provider Demographics
NPI:1326017252
Name:SASTRI, SIRI (MD)
Entity type:Individual
Prefix:DR
First Name:SIRI
Middle Name:
Last Name:SASTRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6050 S FORT APACHE RD STE 200B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5614
Mailing Address - Country:US
Mailing Address - Phone:702-803-5534
Mailing Address - Fax:888-977-1206
Practice Address - Street 1:6050 S FORT APACHE RD STE 200B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5614
Practice Address - Country:US
Practice Address - Phone:702-803-5534
Practice Address - Fax:888-977-1206
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV19664208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery