Individual
RAJENDU SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NORTH MEDICAL DRIVE, SALT LAKE CITY, UT 84113
(801) 588-3813
Mailing address
100 NORTH MEDICAL DRIVE, SALT LAKE CITY, UT 84113
(801) 588-3813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
49058681205
UT
208M00000X
Hospitalist Physician
Primary
49058681205
UT
Other
Enumeration date
09/19/2006
Last updated
12/17/2021
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