Individual
DR. ABHISHEK SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
823 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 449-1010
Mailing address
823 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 347-2450
(843) 497-6171
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
83798
SC
208800000X
Urology Physician
MD464030
PA
Other
Enumeration date
03/23/2012
Last updated
08/24/2020
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