Organization
KALIKA P SRIVASTAVA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALIKA P SRIVASTAVA MD (OWNER)
(518) 272-8181
Entity
Organization
Contact information
Practice address
1444 MASSACHUSETTS AVE, SUITE 103, TROY, NY 12180-1600
(518) 272-8181
Mailing address
1444 MASSACHUSETTS AVE, SUITE 103, TROY, NY 12180-1600
(518) 272-8181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
109015
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
06/18/2013
Last updated
06/18/2013
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