Srivastava, Sudhesh

Srivastava, Sudhesh is an individual health care provider with primary practice located at 833 57Th St , Brooklyn NY 11220-3617. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Srivastava, Sudhesh can be contacted via phone (718) 686-7300.

Contact Information

Primary practice address
833 57Th St Brooklyn NY 11220-3617
Fax: (718) 633-2230
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 220768 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 220768 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 220768 New York

Profile Details

NPI number 1396783999
LBN Legal business name Srivastava, Sudhesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 24th, 2015 - 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 1396783999 NPPES
New York MEDICAID 02559662

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