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Individual

ROMA SRIVASTAVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4350 MALSBARY RD, BLUE ASH, OH 45242-5665
(513) 751-2273
(513) 751-1848
Mailing address
5053 WOOSTER RD, CINCINNATI, OH 45226-2326
(513) 751-2273
(513) 751-1848

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301100224
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301100224
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
491500
OH
Enumeration date
08/01/2012
Last updated
02/13/2023
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