Individual
SANJAY SHRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE FL 9, BOSTON, MA 02215-3904
(617) 421-6050
(617) 421-6083
Mailing address
133 BROOKLINE AVE FL 9, BOSTON, MA 02215-3904
(617) 421-6050
(617) 421-6083
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
222038
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037106
NEIGHBORHOOD HEALTH PLAN
MA
05
—
2112051
—
MA
01
—
453478
TUFTS HEALTH PLAN
MA
01
—
6529879
CIGNA
MA
01
—
AA49898
HARVARD PILGRIM
MA
01
—
J29717
BLUE CROSS
MA
Enumeration date
08/04/2006
Last updated
02/25/2021
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