Individual
SANJAY SHRIVASTAVA
Active
Individual
SANJAY SHRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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