DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. PUJA SRIVASTAVA MD

MEDICARE: DR. PUJA SRIVASTAVA MD
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
1207R00000XInternal Medicine Physician35.128078OH
2390200000XStudent in an Organized Health Care Education/Training ProgramOH
3207RA0401XAddiction Medicine (Internal Medicine) Physician35.128078OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699062257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PUJA SRIVASTAVA MD
Provider Business Mailing Address
First Line : 615 ELSINORE PL STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1457
Country : US
Telephone Number : 513-834-7063
Fax Number :
Provider Business Practice Location Address
First Line : 485 W MAIN ST
Second Line :
City : WILMINGTON
State : OH
Zip : 45177-2174
Country : US
Telephone Number : 513-834-7063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2011
Last Update Date : 01/09/2023

Similar Medicare Providers

1003815689 — DR. JASON L RICH M.D.
Practice Location Address:
485 W MAIN ST
WILMINGTON, OH
45177-2174
Practice Phone: 866-934-7450
Practice Fax:
1679702294 — DR. LESLIE RAE DYE MD
Practice Location Address:
485 W MAIN ST
WILMINGTON, OH
45177-2174
Practice Phone: 833-510-4357
Practice Fax:
1144459975 — MS. BARBARA K SHARP
Practice Location Address:
485 W MAIN ST
WILMINGTON, OH
45177-2174
Practice Phone: 513-834-7063
Practice Fax: 513-873-1567
1972889129 — MONIQUE R. BELLAMY LPCC-S
Practice Location Address:
485 W MAIN ST
WILMINGTON, OH
45177-2174
Practice Phone: 833-510-4357
Practice Fax:
1679848519 — MRS. TAMIKA TRENAE ARNOLD RN
Practice Location Address:
485 W MAIN ST
WILMINGTON, OH
45177-2174
Practice Phone: 513-834-7063
Practice Fax: 513-873-1567
1205191723 — JENNIFER J SHOCKLEY RN
Practice Location Address:
485 W MAIN ST
WILMINGTON, OH
45177-2174
Practice Phone: 513-834-7063
Practice Fax:

Directions to “ DR. PUJA SRIVASTAVA MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.