Srivastava, Shashank Chandra
Srivastava, Shashank Chandra is an sole proprietor health care provider with primary practice located at 2401 Research Blvd Suite 350, Rockville MD 20850-3215. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Srivastava, Shashank Chandra can be contacted via phone (301) 330-0468.Contact Information
Primary practice address
2401 Research Blvd Suite 350
Rockville MD 20850-3215
Phone: (301) 330-0468
Fax: (301) 330-3489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 01392 | Maryland |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO1000041 | District of Columbia |
Profile Details
| NPI number | 1366408221 |
|---|---|
| LBN Legal business name | Srivastava, Shashank Chandra |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Aug 21st, 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 | 1366408221 | NPPES |
| Maryland | Other | 1811181928 | GROUP NPI |
| Maryland | MEDICAID | 406228100 | GROUP NPI |
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