Srivastava, Pavan Kumar

Srivastava, Pavan Kumar is an individual health care provider with primary practice located at 1801 W Taylor St Clinic 3Aa, Chicago IL 60612-4795. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Srivastava, Pavan Kumar can be contacted via phone (312) 413-3627.

Contact Information

Primary practice address
1801 W Taylor St Clinic 3Aa Chicago IL 60612-4795
Phone: (312) 413-3627
Fax: (312) 355-0212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036125749 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036125749 Illinois

Profile Details

NPI number 1841404373
LBN Legal business name Srivastava, Pavan Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Apr 17th, 2013 - about 13 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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