Provider Demographics
NPI:1831293182
Name:SASTUN HEALTH & WELLNESS, PA
Entity Type:Organization
Organization Name:SASTUN HEALTH & WELLNESS, PA
Other - Org Name:SASTUN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-777-6665
Mailing Address - Street 1:10965 GRANADA LN STE 101
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1412
Mailing Address - Country:US
Mailing Address - Phone:913-777-6665
Mailing Address - Fax:913-345-0090
Practice Address - Street 1:10965 GRANADA LN STE 101
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1412
Practice Address - Country:US
Practice Address - Phone:913-777-6665
Practice Address - Fax:913-345-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSI310000Medicare ID - Type Unspecified