Provider Demographics
NPI:1346447893
Name:NASTA, AARTI MANOHAR (MD)
Entity Type:Individual
Prefix:
First Name:AARTI
Middle Name:MANOHAR
Last Name:NASTA
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 1:415 TESCONI CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401-4619
Mailing Address - Country:US
Mailing Address - Phone:707-578-1175
Mailing Address - Fax:707-578-1147
Practice Address - Street 1:401 WARREN ST
Practice Address - Street 2:SUITE 302
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1578
Practice Address - Country:US
Practice Address - Phone:650-701-1882
Practice Address - Fax:650-701-1886
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91065208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics