Individual
DR. BAL KRISHNA SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 DARST RD, DAYTON, OH 45440-3407
(937) 424-3589
Mailing address
61 DARST RD, DAYTON, OH 45440-3407
(937) 424-3589
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35072432
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202320
ANTHEM
OH
05
—
2226157
—
OH
Enumeration date
07/18/2005
Last updated
06/10/2025
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