Srivastava, Deepak
Srivastava, Deepak is an individual health care provider with primary practice located at 1001 Saint Joseph Ln Anesthesia Program, London KY 40741-8345. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Srivastava, Deepak can be contacted via phone (606) 330-6906.Contact Information
Primary practice address
1001 Saint Joseph Ln Anesthesia Program
London KY 40741-8345
Phone: (606) 330-6906
Fax: (606) 330-6536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 31258 | Kentucky |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 31258 | Kentucky |
Profile Details
| NPI number | 1346214681 |
|---|---|
| LBN Legal business name | Srivastava, Deepak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Mar 30th, 2017 - about 7 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 | 1346214681 | NPPES |
| Kentucky | Other | P00281314 | RRMCR |
| Kentucky | Other | 61-1427889 | RRMCR |
| Kentucky | Other | 50008010 | RRMCR |
| Kentucky | Other | 61-1427889 | RRMCR |
| Kentucky | Other | 000000378136 | RRMCR |
| Kentucky | Other | C20833 | RRMCR |
| Kentucky | Other | 030670000 | RRMCR |
| Kentucky | Other | 61-1427889 | RRMCR |
| Kentucky | Other | 61-1427889 | RRMCR |
| Kentucky | Other | 61-1427889 | RRMCR |
| Kentucky | MEDICAID | 64312580 | RRMCR |
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