MALLADI R. SASTRY, MD, PA
Osteopathic Medicine at 15 St, Plano, TX

License number
Texas E4934
Category
Osteopathic Medicine
Type
Pulmonary Disease
Owner
Name: DR. MALLADI R SASTRY M.D.
Title: OWNER/PHYSICIAN
Phone: (972) 596-2135
Address
Address
4100 W 15Th St SUITE 216, Plano, TX 75093
National Provider ID: 1164790150
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MALLADI R. SASTRY, M.D., PA

4100 W 15 St STE 216, Plano, TX 75093

Status:
Inactive
Industry:
Medical Doctor's Office, Anesthesiology, Pulmonologist, ...
Doing business as:
Malladi R. Sastry, M.D., PA
Registration:
May 30, 1978
State ID:
0080409303
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
Malladi R. Sastry President , Treasurer , Secretary , Director , Member , Vice-President, inactive
Agent:
Malladi R Sastry,4100 W 15 St, Plano, TX 75093 (Physical)
TIN:
32036051988

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