Individual
BHARATI SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 OLD DENBIGH BLVD, SUITE 1020A, NEWPORT NEWS, VA 23602-2017
(757) 220-9000
(757) 875-2070
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101252794
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301056425
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306956339
—
VA
Enumeration date
08/31/2006
Last updated
12/13/2023
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