Srivastava, Amit K

Srivastava, Amit K is an individual health care provider with primary practice located at 3722 Harlem Ave Suite 102, Riverside IL 60546-2312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Srivastava, Amit K can be contacted via phone (708) 783-7000.

Contact Information

Primary practice address
3722 Harlem Ave Suite 102 Riverside IL 60546-2312
Phone: (708) 783-7000
Fax: (708) 783-7008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036071488 Illinois

Profile Details

NPI number 1770521510
LBN Legal business name Srivastava, Amit K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Apr 3rd, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770521510 NPPES
Illinois Other 1622295 BCBS #
Illinois MEDICAID 036071488 BCBS #

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