Individual
DR. PUJA SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
485 W MAIN ST, WILMINGTON, OH 45177-2174
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.128078
OH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
35.128078
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
07/05/2011
Last updated
01/09/2023
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