Provider Demographics
NPI:1831309079
Name:SASI, AKHILA LALITA (MD)
Entity Type:Individual
Prefix:DR
First Name:AKHILA
Middle Name:LALITA
Last Name:SASI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:AKHILA
Other - Middle Name:LALITA
Other - Last Name:VAISHYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1850 SULLIVAN AVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2221
Mailing Address - Country:US
Mailing Address - Phone:650-985-0530
Mailing Address - Fax:650-985-0535
Practice Address - Street 1:909 HYDE ST
Practice Address - Street 2:317
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4822
Practice Address - Country:US
Practice Address - Phone:415-440-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112139174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist