Individual
RAJ K SHRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 E 98TH ST, BOX 1136, NEW YORK, NY 10029-6501
(212) 241-6147
(212) 241-3252
Mailing address
5 E 98TH ST, BOX 1136, NEW YORK, NY 10029-6501
(212) 241-6147
(212) 241-3252
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2242811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02664762
—
NY
Enumeration date
12/13/2005
Last updated
12/21/2012
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