Individual
DR. SANATH SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(646) 713-4096
Mailing address
404 E 66TH ST APT 2N, NEW YORK, NY 10065-9309
(646) 713-4096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
331021
NY
208M00000X
Hospitalist Physician
331021
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
08/06/2025
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