Individual
SHASHANK CHANDRA SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2401 RESEARCH BLVD, SUITE 350, ROCKVILLE, MD 20850-3215
(301) 330-0468
(301) 330-3489
Mailing address
2401 RESEARCH BLVD, SUITE 350, ROCKVILLE, MD 20850-3215
(301) 330-0468
(301) 330-3489
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01392
MD
213E00000X
Podiatrist
PO1000041
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811181928
GROUP NPI
MD
05
—
406228100
—
MD
Enumeration date
04/20/2006
Last updated
08/21/2010
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