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Individual

SUNIL K SRIVASTAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9500 EUCLID AVE, MAIL CODE I32, CLEVELAND, OH 44195-0001
(216) 636-2286
(216) 445-4575
Mailing address
9500 EUCLID AVE, MAIL CODE I32, CLEVELAND, OH 44195-0001
(216) 636-2286
(216) 445-4575

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35096111
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3092451
OH
Enumeration date
04/25/2006
Last updated
11/07/2011
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