Srivastava, Praveer

Srivastava, Praveer is an individual health care provider with primary practice located at 325 Charles H Dimmock Pkwy Ste 100 , Colonial Heights VA 23834-2986. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Srivastava, Praveer can be contacted via phone (804) 526-5888.

Contact Information

Primary practice address
325 Charles H Dimmock Pkwy Ste 100 Colonial Heights VA 23834-2986
Phone: (804) 526-5888
Fax: (804) 526-5401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101231604 Virginia
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 0101231604 Virginia

Profile Details

NPI number 1619976826
LBN Legal business name Srivastava, Praveer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 5th, 2017 - about 8 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 1619976826 NPPES
Virginia MEDICAID 006408613
Virginia Other 200043080

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