Provider Demographics
NPI:1609199215
Name:BLUVSHTEYN, SASHA ALEXI (MD)
Entity Type:Individual
Prefix:DR
First Name:SASHA
Middle Name:ALEXI
Last Name:BLUVSHTEYN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SASHA
Other - Middle Name:
Other - Last Name:BLUVSHTEYN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:1320 CELESTE DR
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-2402
Mailing Address - Country:US
Mailing Address - Phone:209-527-6900
Mailing Address - Fax:209-524-7328
Practice Address - Street 1:1320 CELESTE DR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-2402
Practice Address - Country:US
Practice Address - Phone:209-527-6900
Practice Address - Fax:209-524-7328
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA118003207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine