# DR. PUJA SRIVASTAVA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699062257
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 35.128078 | OH | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 35.128078 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | OH | — |

## Other

- **Enumeration date:** 07/05/2011
- **Last updated:** 01/09/2023