Individual
DR. AJAY SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN STREET, CINCINNATI, OH 45219
(513) 584-4956
(513) 584-5571
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
064470
GA
207RN0300X
Nephrology Physician
238576
NY
207RN0300X
Nephrology Physician
Primary
35 127306
OH
207RN0300X
Nephrology Physician
M9674
TX
Other
Enumeration date
08/31/2006
Last updated
08/17/2017
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