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Individual
LEENA SHRIVASTAVA DEV
Active
Individual
LEENA SHRIVASTAVA DEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA08917600
NJ
208000000X
Pediatrics Physician
4301070491
MI
208000000X
Pediatrics Physician
Primary
D0075515
MD
208M00000X
Hospitalist Physician
4301070491
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0188077
—
NJ
05
—
422391800
—
MD
05
—
4710765
—
MI
Enumeration date
08/08/2006
Last updated
11/25/2019
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