Individual
RAKESH SHRIVASTAVA
Active
Individual
RAKESH SHRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
27981
OK
207RI0011X
Interventional Cardiology Physician
27981
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000924679001
HEALTHNOW
—
01
—
107177BJ
PREFERRED CARE MCO
—
01
—
9704619
GHI
—
01
—
MDG288
PREFERRED CARE MCO
—
01
—
P010001487
BLUE CHOICE MCO
—
Enumeration date
06/08/2006
Last updated
02/16/2022
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