Provider Demographics
NPI:1407145709
Name:SASTRY, AMIT VINAY (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIT
Middle Name:VINAY
Last Name:SASTRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:95 ARCH ST STE 115
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1466
Mailing Address - Country:US
Mailing Address - Phone:330-375-6149
Mailing Address - Fax:330-434-6908
Practice Address - Street 1:95 ARCH ST STE 115
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1466
Practice Address - Country:US
Practice Address - Phone:330-375-6149
Practice Address - Fax:330-434-6908
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1367122086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology