Individual
DR. RAVINDRA PRAKASH SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 HOSPITAL CENTER BLVD, HILTON HEAD ISLAND, SC 29926-2738
(843) 784-8224
Mailing address
60 MAIN ST, SUITE H, HILTON HEAD ISLAND, SC 29926-6602
(843) 681-1935
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23689
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236890
—
SC
Enumeration date
11/30/2006
Last updated
04/19/2019
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