Individual
DR. AJAY KUMAR SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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