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Individual
SHASHANK CHANDRA SRIVASTAVA
Active
Individual
SHASHANK CHANDRA SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01392
MD
213E00000X
Podiatrist
PO1000041
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811181928
GROUP NPI
MD
05
—
406228100
—
MD
Enumeration date
04/20/2006
Last updated
08/21/2010
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