Provider Demographics
NPI:1073594628
Name:SASHITAL, DEEPA (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPA
Middle Name:
Last Name:SASHITAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:1025 BIRDSONG DR STE C
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3205
Practice Address - Country:US
Practice Address - Phone:281-427-7298
Practice Address - Fax:281-427-3758
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6377207RH0003X
IN01058384A207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AA594OtherBCBS
IN200303760Medicaid
IN000000352845OtherANTHEM BCBS
TX189143401Medicaid
TX189143402Medicaid
TX189143402Medicaid
TX8K0688Medicare PIN
IN000000352845OtherANTHEM BCBS
TXI22225Medicare UPIN
TXP00448893Medicare PIN