Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | M6377 | TX |
N | 207RX0202X | Medical Oncology | 01058384A | IN |
NPI | 1073594628 |
---|---|
Provider Name | Dr. Deepa Sashital |
First Address | Dallas, TX 75391-1230 |
Second Address | Baytown, TX 77521-3205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 17/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000352845 | ANTHEM BCBS (01) | IN |
189143401 | (05) | TX |
189143402 | (05) | TX |
200303760 | (05) | IN |
8AA594 | BCBS (01) | TX |
I22225 | (02) | TX |