Organization
SANJAY SRIVATSA MD INC
Active
Organization
SANJAY SRIVATSA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY S SRIVATSA MD (PHYSICIAN)
(559) 224-5003
Entity
Organization
Contact information
Practice address
222 W SHAW AVE, FRESNO, CA 93704-2644
(805) 459-6089
Mailing address
222 W SHAW AVE, FRESNO, CA 93704-2644
(805) 459-6089
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C51203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588603369
NPI
CA
Enumeration date
04/09/2013
Last updated
09/24/2025
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