Individual
ASEEM SHRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1664 MULKEY RD, AUSTELL, GA 30106-1114
(770) 422-1372
(770) 999-2599
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70426
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
70426
GA
207RP1001X
Pulmonary Disease Physician
Primary
70426
GA
Other
Enumeration date
06/02/2008
Last updated
10/17/2019
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