Individual
DR. SUDHESH SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 57TH ST, BROOKLYN, NY 11220-3617
(718) 686-7300
(718) 633-2230
Mailing address
833 57TH ST, BROOKLYN, NY 11220-3617
(718) 686-7300
(718) 633-2230
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
220768
NY
207RC0000X
Cardiovascular Disease Physician
220768
NY
207RI0011X
Interventional Cardiology Physician
Primary
220768
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02559662
—
NY
Enumeration date
06/03/2006
Last updated
03/11/2025
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