Dev, Leena Shrivastava
Dev, Leena Shrivastava is an sole proprietor health care provider with primary practice located at 87 Thomas Johnson Dr Ste 101 , Frederick MD 21702-4427. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Dev, Leena Shrivastava can be contacted via phone (301) 694-0606.Contact Information
Primary practice address
87 Thomas Johnson Dr Ste 101
Frederick MD 21702-4427
Phone: (301) 694-0606
Fax: (301) 662-6928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301070491 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA08917600 | New Jersey |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4301070491 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0075515 | Maryland |
Profile Details
| NPI number | 1093725616 |
|---|---|
| LBN Legal business name | Dev, Leena Shrivastava |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Nov 25th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093725616 | NPPES |
| Maryland | MEDICAID | 422391800 | |
| Maryland | MEDICAID | 0188077 | |
| Maryland | MEDICAID | 4710765 |
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