Individual
MADHAV K SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36061106
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010100569
BCBS
IL
01
—
008839
HEALTH ALLIANCE
IL
05
—
036061106
—
IL
01
—
791133506
RETIRED RAILROAD
IL
Enumeration date
11/15/2005
Last updated
09/26/2011
Update your record
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