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NPI Code Detail

MEDICARE: DR. PRANAY SRIVASTAVA M.D.

MEDICARE: DR. PRANAY SRIVASTAVA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207RG0100XGastroenterology Physician296003NY
3207RG0100XGastroenterology Physician2026-01032NC
4207R00000XInternal Medicine Physician296003NY

General Provider Information

NPI Number : 1316332984
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRANAY SRIVASTAVA M.D.
Provider Business Mailing Address
First Line : 2201 HEMPSTEAD TPKE
Second Line :
City : EAST MEADOW
State : NY
Zip : 11554-1859
Country : US
Telephone Number : 516-572-6501
Fax Number :
Provider Business Practice Location Address
First Line : 1 HEALTHY WAY
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-1551
Country : US
Telephone Number : 516-632-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2015
Last Update Date : 05/06/2026

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