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SRIDHARA SASTRY MD PA NPI 1770686974


NPI Information

NPI: 1770686974
Provider Name: SRIDHARA SASTRY MD PA

Doing Business As: PEDIATRIC CRITICAL CARE ASSOCIATES

Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

Address:
5003 E LONGBOAT BLVD
TAMPA, FL
ZIP 33615
Phone: (813) 855-7884
Get Directions

SRIDHARA SASTRY MD PA is a pediatric critical care medicine pediatrics in Tampa, FL. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. SRIDHARA SASTRY MD PA NPI is 1770686974. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Critical Care Associates.

The provider's business location address is:

5003 E LONGBOAT BLVD
TAMPA, FL
ZIP 33615-229
Phone: (813) 855-7884

The provider's authorized official is Sridhara Sastry .
The authorized official title is Owner / Provider and has the following contact phone number (813) 855-7884.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 10/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0203XPediatricsPediatric Critical Care MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1045861900MEDICAIDFLORIDA
2D50856MEDICARE UPIN
303864MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
4FV211AMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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