Lalitha K Sastry, MD | |
15855 West 19 Mile Rd, St Josephs Medical Center, Clinton Twp, MI 48038 | |
(586) 263-2300 | |
(586) 263-2595 |
Full Name | Lalitha K Sastry |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 15855 West 19 Mile Rd, Clinton Twp, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215982137 | NPI | - | NPPES |
4843897 | Medicaid | MI | |
0821554 | Other | MI | BCBS TRUST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036197 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lalitha K Sastry, MD Po Box 55 114, Detroit, MI 48255 Ph: (248) 858-3197 | Lalitha K Sastry, MD 15855 West 19 Mile Rd, St Josephs Medical Center, Clinton Twp, MI 48038 Ph: (586) 263-2300 |
Tae Sik Yook, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15855 West 19 Mile Rd, St Josephs Medical Center, Clinton Twp, MI 48038 Phone: 586-263-2300 Fax: 586-263-2595 |