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Contact Information

SARA DASTMALCHIAN, MD
2020 59TH ST W
BRADENTON, FL34209
 Phone: 941-792-6611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for SARA DASTMALCHIAN · (Female)

NPI Number 1275066706
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2017
Last updated 06/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A177901
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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