Individual
PRIYANKA SRIVASTAV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3635 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5711
(228) 872-2403
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1202949
NC
207R00000X
Internal Medicine Physician
Primary
26045
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04008751
—
MS
Enumeration date
07/04/2015
Last updated
04/26/2026
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