Individual
DR. DEVENDRA KUMAR SHRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213
(718) 613-4442
(718) 613-4885
Mailing address
15 WOODCREST DR, SYOSSET, NY 11791-3036
(718) 552-2070
(472) 950-0036
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
182573
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01506849
—
NY
Enumeration date
10/02/2006
Last updated
07/24/2019
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