Provider Demographics
NPI:1699845859
Name:SASTRY, WILLIAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:SASTRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 50875
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-0672
Mailing Address - Country:US
Mailing Address - Phone:650-814-9064
Mailing Address - Fax:650-561-4752
Practice Address - Street 1:2425 PARK BLVD
Practice Address - Street 2:SUITE B-102
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1931
Practice Address - Country:US
Practice Address - Phone:650-814-9064
Practice Address - Fax:650-561-4752
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA893012084F0202X, 2084P0800X, 2084P0802X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry