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NPI Code Detail

MEDICARE: SRISHTI PRASAD SHRIVASTAV

MEDICARE: SRISHTI PRASAD SHRIVASTAV
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
1225100000XPhysical TherapistPT020956OH

General Provider Information

NPI Number : 1396697587
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRISHTI PRASAD SHRIVASTAV
Provider Business Mailing Address
First Line : 8819 COMMONS BLVD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-4101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8819 COMMONS BLVD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-4101
Country : US
Telephone Number : 330-486-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ SRISHTI PRASAD SHRIVASTAV ” Practice Location

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