Srivastava, Pankaj

Srivastava, Pankaj is an individual health care provider with primary practice located at 1445 Us Highway 51 Byp E Suite C, Dyersburg TN 38024-2127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Srivastava, Pankaj can be contacted via phone (731) 286-1900.

Contact Information

Primary practice address
1445 Us Highway 51 Byp E Suite C Dyersburg TN 38024-2127
Phone: (731) 286-1900
Fax: (731) 286-1939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD34709 Tennessee

Profile Details

NPI number 1487655957
LBN Legal business name Srivastava, Pankaj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 3rd, 2014 - about 10 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 1487655957 NPPES
Other 000000118807 BETTER HEALTH
MEDICAID 3862247 BETTER HEALTH
Other 4012046 BETTER HEALTH
Other 62-1815075 BETTER HEALTH

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