Individual
DR. SONI SRIVASTAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2005 TECHNOLOGY PKWY, SUITE 440, MECHANICSBURG, PA 17050-9413
(717) 791-2540
(717) 791-2549
Mailing address
2005 TECHNOLOGY PKWY STE 440, MECHANICSBURG, PA 17050-9413
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD447812
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102838470
—
PA
Enumeration date
10/06/2008
Last updated
12/19/2020
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