Shrivastava, Amitabh
Shrivastava, Amitabh is an individual health care provider with primary practice located at 1301 Trumansburg Rd Suite H, Ithaca NY 14850-1397. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shrivastava, Amitabh can be contacted via phone (607) 272-6880.Contact Information
Primary practice address
1301 Trumansburg Rd Suite H
Ithaca NY 14850-1397
Phone: (607) 272-6880
Fax: (607) 272-1436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 197166 | New York |
Profile Details
| NPI number | 1891884193 |
|---|---|
| LBN Legal business name | Shrivastava, Amitabh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1891884193 | NPPES |
| New York | MEDICAID | 01514227 |
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