Individual
DR. MAKARDHWAJ SARVADAMAN SHRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
625 N 6TH ST, PHOENIX, AZ 85004-2155
(602) 406-8222
(602) 406-7811
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56370
AZ
207RH0003X
Hematology & Oncology Physician
Primary
56370
AZ
207RX0202X
Medical Oncology Physician
56370
AZ
Other
Enumeration date
09/26/2012
Last updated
12/11/2024
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