Individual
DR. MANISH SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 DIXMYTH AVE 8TH FLOOR, CINCINNATI, OH 45220
(513) 607-7283
(513) 862-2573
Mailing address
375 DIXMYTH AVE 8TH FLOOR, CINCINNATI, OH 45220
(513) 607-7283
(513) 862-2573
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35-078217
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
35-078217
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L2339437
—
OH
Enumeration date
03/16/2007
Last updated
09/14/2023
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