Individual
MONIKA SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 36TH ST STE B, VERO BEACH, FL 32960
(772) 567-1164
(772) 567-1501
Mailing address
1600 36TH ST STE B, VERO BEACH, FL 32960-4875
(772) 567-1164
(772) 567-1501
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
227592
MA
207N00000X
Dermatology Physician
230026
NY
207ND0101X
MOHS-Micrographic Surgery Physician
25MA083600800
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME101443
FL
Other
Enumeration date
05/03/2006
Last updated
08/20/2018
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