Individual
RAKESH K SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
223 E 14TH ST, SUITE 5, HASTINGS, NE 68901-3200
(402) 461-4931
Mailing address
606 W 33RD ST, HASTINGS, NE 68901-7383
(402) 461-4931
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CPO-02611
VA
Other
Enumeration date
06/19/2006
Last updated
05/08/2008
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