Srivastava, Amitabh

Srivastava, Amitabh is an individual health care provider with primary practice located at 75 Francis Street, Amory 3 , Boston MA 02115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Srivastava, Amitabh can be contacted via phone (617) 732-7510.

Contact Information

Primary practice address
75 Francis Street, Amory 3 Boston MA 02115
Phone: (617) 732-7510
Fax: (617) 264-5118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 219855 Massachusetts

Profile Details

NPI number 1649260100
LBN Legal business name Srivastava, Amitabh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 16th, 2021 - about 5 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 1649260100 NPPES
Massachusetts Other 468390 TUFTS HEALTH PLAN
Massachusetts Other J28666 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2101866 TUFTS HEALTH PLAN

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