Provider Demographics
NPI:1699962613
Name:BRAGA, SASHI ANDRADE (MD)
Entity type:Individual
Prefix:
First Name:SASHI
Middle Name:ANDRADE
Last Name:BRAGA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3-3420 KUHIO HWY
Mailing Address - Street 2:SUITE B - KAUA'I MEDICAL CLINIC
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1042
Mailing Address - Country:US
Mailing Address - Phone:808-246-2951
Mailing Address - Fax:808-246-1645
Practice Address - Street 1:3-3420 KUHIO HWY
Practice Address - Street 2:SUITE B - KAUA'I MEDICAL CLINIC
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1042
Practice Address - Country:US
Practice Address - Phone:808-246-2951
Practice Address - Fax:808-246-1645
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2015-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-15534207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine