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Individual

DR. VIKAS SHRIVASTAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
NAVAL MEDICAL CTR, 34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 251-7471
Mailing address
NAVAL MEDICAL CTR, 34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101247946
VA

Other

Enumeration date
06/08/2009
Last updated
06/27/2014
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