Individual
PRAJIN SRIVASTAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5492 N RONALD REAGAN PKWY STE 2105, BROWNSBURG, IN 46112-5657
(317) 852-3851
(317) 852-1246
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5566
(317) 837-5567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02008009A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11022547A
IN
Other
Enumeration date
03/21/2022
Last updated
11/11/2025
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