Organization
GERIATRICS CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH G SRIVASTAVA MD (OWNER)
(513) 607-7283
Entity
Organization
Contact information
Practice address
619 OAK ST, STE 645, CINCINNATI, OH 45206-1613
(513) 607-7283
(513) 469-0251
Mailing address
PO BOX 636299, CINCINNATI, OH 45263-0001
(513) 607-7283
(513) 793-1032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2958214
—
OH
01
—
DP7382
RR MEDICARE
—
Enumeration date
12/23/2008
Last updated
09/19/2023
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