Individual
GEETA SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 DIXMYTH AVENUE, CINCINNATI, OH 45220-2475
(513) 862-3452
(513) 862-3421
Mailing address
PO BOX 636799, CINCINNATI, OH 45263-1395
(513) 862-3452
(513) 862-3421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-072089
OH
207V00000X
Obstetrics & Gynecology Physician
41496
KY
208M00000X
Hospitalist Physician
Primary
35-072089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2342469
—
OH
05
—
7100018530
—
KY
Enumeration date
01/19/2006
Last updated
05/29/2017
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