Individual
AYUSH CHANDRA SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 567-4115
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-5759
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10081794
TEXAS MEDICAL BOARD
TX
Enumeration date
05/06/2020
Last updated
03/31/2025
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