Individual
ROMIK PRAKASH SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-2300
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL82748
SC
207RG0100X
Gastroenterology Physician
Primary
D0104137
MD
Other
Enumeration date
06/21/2019
Last updated
06/19/2025
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