Provider Demographics
NPI:1609845510
Name:SESTOKAS, ONILE VAITKUS (MD)
Entity Type:Individual
Prefix:
First Name:ONILE
Middle Name:VAITKUS
Last Name:SESTOKAS
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 1:3100 W END AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1320
Mailing Address - Country:US
Mailing Address - Phone:615-345-5400
Mailing Address - Fax:
Practice Address - Street 1:6819 SONYA DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-5222
Practice Address - Country:US
Practice Address - Phone:615-345-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY39470207R00000X
NH12555207R00000X
NJ25MA07790400207R00000X
NY231589-1207R00000X
NC200500252207R00000X
OH85370207R00000X
PAMD056902-L207R00000X
DEC1-0007370207R00000X
IN01061894A207R00000X
CT42740207R00000X
TN51920207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00833504OtherRAILROAD MEDICARE