Individual
RAVI SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 SENTARA CIR STE 320, WILLIAMSBURG, VA 23188-5716
(757) 345-4800
(757) 345-4801
Mailing address
400 SENTARA CIR STE 320, WILLIAMSBURG, VA 23188-5716
(757) 345-4800
(757) 345-4801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.24120
AL
207RC0000X
Cardiovascular Disease Physician
Primary
0101263232
VA
207RC0000X
Cardiovascular Disease Physician
38693
KY
207RC0000X
Cardiovascular Disease Physician
ME103543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330954
ANTHEM PIN
KY
05
—
001030400
—
FL
05
—
200487400A
—
IN
05
—
200487400F
—
IN
01
—
2446165000
PASSPORT ADVANTAGE PIN
KY
01
—
50004815
PASSPORT PIN
KY
05
—
64087554
—
KY
Enumeration date
06/29/2006
Last updated
11/22/2023
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