Provider Demographics
NPI:1053411868
Name:SASTRY, RATHNA V (MD)
Entity type:Individual
Prefix:DR
First Name:RATHNA
Middle Name:V
Last Name:SASTRY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11914 ASTORIA BLVD
Mailing Address - Street 2:#450
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6064
Mailing Address - Country:US
Mailing Address - Phone:281-484-7619
Mailing Address - Fax:281-484-9332
Practice Address - Street 1:11914 ASTORIA BLVD
Practice Address - Street 2:#450
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6064
Practice Address - Country:US
Practice Address - Phone:281-484-7619
Practice Address - Fax:281-484-9332
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE6604208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics