Individual
PRITIKA SHRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301101565
MI
207R00000X
Internal Medicine Physician
MD434606
PA
207RN0300X
Nephrology Physician
Primary
4301101565
MI
207RN0300X
Nephrology Physician
MT190509
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102226350
—
PA
01
—
121910
GEISINGER HEALTH PLAN
PA
01
—
1577253
GATEWAY-WMG
PA
05
—
1811044878
—
MI
01
—
20080686
AMERIHEALTH MERCY-WMG
PA
01
—
2079421
HIGHMARK BLUE SHIELD
PA
01
—
226021
JOHNS HOPKINS
PA
01
—
257944
UNISON-WMG
PA
01
—
50081952
CAPITAL BLUE CROSS-WMG
PA
01
—
700F349850
BCBSM
MI
01
—
945883
CAREFIRST MD BCBS
MD
01
—
9815250
AETNA
PA
Enumeration date
05/29/2007
Last updated
06/23/2015
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