Basic Information
| Provider Information | |||||||||
| NPI: | 1639361850 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SASTE | ||||||||
| FirstName: | ABHIJIT | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 SEAGATE STE 800 | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436041558 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1982465994 | ||||||||
| FaxNumber: | 4198823870 | ||||||||
| Practice Location | |||||||||
| Address1: | 5308 HARROUN RD STE 55 | ||||||||
| Address2: | |||||||||
| City: | SYLVANIA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 435602174 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4198246599 | ||||||||
| FaxNumber: | 4198823870 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2007 | ||||||||
| LastUpdateDate: | 03/14/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4301090051 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0003X | 4301090051 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RH0003X | 35129769 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | H556200 | 01 | OH | MEDICARE PIN | OTHER | MI4068057 | 01 | MI | MEDICARE PIN | OTHER | 0241710 | 05 | OH | MEDICAID | 1639361850 | 05 | MI | MEDICAID |