Individual
NAMUN SHANTI SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5310 W THUNDERBIRD RD STE 110, GLENDALE, AZ 85306-4709
(480) 412-6336
Mailing address
5310 W THUNDERBIRD RD STE 110, GLENDALE, AZ 85306-4709
(480) 412-6336
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
73515
AZ
Other
Enumeration date
06/20/2018
Last updated
08/12/2025
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