Srivastava, Anil Kumar
Srivastava, Anil Kumar is an individual health care provider with primary practice located at 12266 De Paul Dr Ste 305 , Bridgeton MO 63044-2514. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Srivastava, Anil Kumar can be contacted via phone (314) 770-0991.Contact Information
Primary practice address
12266 De Paul Dr Ste 305
Bridgeton MO 63044-2514
Phone: (314) 770-0991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-090872 | Illinois |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 2004034166 | Missouri |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 2004034166 | Missouri |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2004034166 | Missouri |
Profile Details
| NPI number | 1205920220 |
|---|---|
| LBN Legal business name | Srivastava, Anil Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1205920220 | NPPES |
| Missouri | Other | 927594382 | MEDICARE PTAN |
| Missouri | MEDICAID | 1205920220 | MEDICARE PTAN |
| Missouri | Other | 2004034166 | MEDICARE PTAN |
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