Individual
ANSHUMAN SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 E CENTER AVE, VISALIA, CA 93291-6331
(318) 330-7615
Mailing address
1632 W GLENDALE AVE, VISALIA, CA 93291-8388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A159031
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
02/10/2022
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