Provider Demographics
NPI:1396782405
Name:SASAKI, ROY R (MD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:R
Last Name:SASAKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3801 MIRANDA AVE
Mailing Address - Street 2:128
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1207
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-853-3455
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:128
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-853-3455
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG713462081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine