Individual
DR. ADITYA V. SHREENIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
280526
NY
207RH0003X
Hematology & Oncology Physician
69856
WI
207RX0202X
Medical Oncology Physician
Primary
C194081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215282264
—
WI
Enumeration date
07/16/2012
Last updated
04/18/2024
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