Individual
DR. PUJA KESARI SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2864
(513) 862-2573
Mailing address
4685 FOREST AVE, SUITE C, CINCINNATI, OH 45212-3359
(513) 853-4721
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
35120267
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2009
Last updated
06/13/2016
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