Individual
DR. AJAY KUMAR SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4466 W BRISTOL RD, FAMILY ORTHOPEDIC ASSOCIATES, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-3130
Mailing address
4466 W BRISTOL RD, FAMILY ORTHOPEDIC ASSOCIATES, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-0688
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301086367
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649429853
—
MI
01
—
ON45090
GRP MEDICARE PTAN
MI
Enumeration date
09/11/2008
Last updated
12/17/2013
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