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General NPI Number Information
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NPI Number | 1760304398
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Entity Type | Organization
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Legal Business Name | SRIVASTAVA MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 2823 FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93721-1324
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Country | US
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Telephone | 559-459-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 4926 W BUENA VISTA AVE
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City | VISALIA
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State | CA
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Zip | 93291-9018
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Country | US
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Telephone | 318-805-6648
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANSHUMAN SRIVASTAVA
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Credential | MD
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Telephone | 318-805-6648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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