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Individual

DR. MANISH SRIVASTAVA

Active
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Individual

DR. MANISH SRIVASTAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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