Individual
SAGAR SHRIVASTAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET WHITE 270, BOSTON, MA 02114
(617) 643-2009
Mailing address
PO BOX 100265, GAINESVILLE, FL 32610-0265
(352) 265-0239
(352) 265-1107
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1014694
MA
2085R0202X
Diagnostic Radiology Physician
ME155617
FL
Other
Enumeration date
03/25/2018
Last updated
04/11/2024
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