Individual
DR. UDAYAN SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 590-8000
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
R1655
TX
2085R0202X
Diagnostic Radiology Physician
Primary
R1655
TX
Other
Enumeration date
04/03/2015
Last updated
02/29/2024
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