Individual provider · Type 1 NPI

Sasha Khoshaniques Dorestin, DO

Student in an Organized Health Care Education/Training Program · Ferguson, MO

NPI number 1235068461 Active

Practice location

3396 Pershall Rd
Ferguson, MO 63135-1407

Mailing address

4764 Grace Farms Ln
Jacksonville, FL 32258-4242

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235068461

Sasha Khoshaniques Dorestin, DO's National Provider Identifier is 1235068461, issued on May 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ferguson, MO. The record was last updated on May 14, 2026.