Srivastava, Mukta Chandra

Srivastava, Mukta Chandra is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Srivastava, Mukta Chandra can be contacted via phone (410) 328-7718.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 328-7718
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 045364 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 045364 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X D73878 Maryland
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X D73674 Maryland

Profile Details

NPI number 1548455694
LBN Legal business name Srivastava, Mukta Chandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Apr 9th, 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 1548455694 NPPES
Maryland MEDICAID 1548455694

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