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General NPI Number Information
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NPI Number | 1760518823
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Entity Type | Individual
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Provider Name | ANURAG SHRIVASTAVA MD
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Gender | Male
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Dates
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Enumeration Date | 02/25/2007
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Last Update Date | 05/04/2018
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Provider Practice Location Address
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Address Line | 3801 MIRANDA AVE
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City | PALO ALTO
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State | CA
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Zip | 94304-1207
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Country | US
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Telephone | 650-852-3274
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Fax |
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Provider Business Mailing Address
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Address Line | 725 E 9TH ST APT. 2F
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City | NEW YORK
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State | NY
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Zip | 10009-5389
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Country | US
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Telephone | 315-372-6200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 00246048
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | 249681
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License Number State | NY
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