Individual
MRS. VINITA SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
—
SC
207R00000X
Internal Medicine Physician
Primary
18965
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189655
—
SC
01
—
571107258001
BLUE CHOICE SC
—
Enumeration date
05/26/2006
Last updated
01/19/2017
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