Individual
MAYA DEVI SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS MD PHD
Contact information
Practice address
1000 YOUNGS ROAD, SUITE 208, WILLIAMSVILLE, NY 14221-2644
(716) 688-0525
(716) 688-0569
Mailing address
PO BOX 400, EAST AMHERST, NY 14051-1808
(716) 688-0525
(716) 688-0569
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
150928
MA
207K00000X
Allergy & Immunology Physician
202393
NY
207K00000X
Allergy & Immunology Physician
69401
OH
207RG0100X
Gastroenterology Physician
150928
MA
207RG0100X
Gastroenterology Physician
Primary
202393
NY
207RG0100X
Gastroenterology Physician
69401
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027177701
UNIVERA
—
01
—
000528116001
BCBS
—
01
—
1212904
IHA
—
01
—
BA0636
PIN
—
Enumeration date
08/11/2006
Last updated
12/11/2012
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