Individual
ADITYA SRIVATSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2699
(408) 885-5000
Mailing address
42 WATERMILL PL, SUGAR LAND, TX 77479-5879
(832) 659-1458
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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