Provider Demographics
NPI:1407727431
Name:MADAKASIRA, SAI SANKEERTH (MD, MS)
Entity type:Individual
Prefix:DR
First Name:SAI SANKEERTH
Middle Name:
Last Name:MADAKASIRA
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 BOSTON ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02125-1144
Mailing Address - Country:US
Mailing Address - Phone:857-398-1247
Mailing Address - Fax:
Practice Address - Street 1:123 BOSTON ST UNIT 3
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02125-1144
Practice Address - Country:US
Practice Address - Phone:857-398-1247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty