Srivastava, Sudhir Prem
Srivastava, Sudhir Prem is an individual health care provider with primary practice located at 5665 Peachtree Dunwoody Rd Ne Suite 200, Atlanta GA 30342-1764. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Srivastava, Sudhir Prem can be contacted via phone (404) 252-6104.Contact Information
Primary practice address
5665 Peachtree Dunwoody Rd Ne Suite 200
Atlanta GA 30342-1764
Phone: (404) 252-6104
Fax: (404) 847-9683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | F3628 | Texas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 062083 | Georgia |
Profile Details
| NPI number | 1598755811 |
|---|---|
| LBN Legal business name | Srivastava, Sudhir Prem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Dec 29th, 2010 - about 15 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 | 1598755811 | NPPES |
| Texas | MEDICAID | 123718204 | |
| Texas | Other | 060059517 |
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