Sastry, Indira

Sastry, Indira is an individual health care provider with primary practice located at 1666 E Bert Kouns Loop Suite 225, Shreveport LA 71105-5714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Sastry, Indira can be contacted via phone (318) 797-7696.

Contact Information

Primary practice address
1666 E Bert Kouns Loop Suite 225 Shreveport LA 71105-5714
Phone: (318) 797-7696
Fax: (318) 797-3836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 10916R Louisiana

Profile Details

NPI number 1659367175
LBN Legal business name Sastry, Indira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Sep 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659367175 NPPES
Louisiana MEDICAID 1650366

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