Individual
ARCHANA SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4305 W WHEATLAND RD STE 130, DALLAS, TX 75237-3311
(972) 296-0845
(972) 709-1790
Mailing address
PO BOX 975300, DALLAS, TX 75397-5300
(214) 946-8856
(214) 946-5848
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L3141
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060067428
RAILROAD MDCR
—
05
—
147317501
—
TX
01
—
8029M2
BCBS
TX
Enumeration date
06/11/2006
Last updated
06/11/2020
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